Active NPI
Jasmine Domingo, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1508706995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 850534
- Practice address
- 10470 W. Cheyenne Ave. Ste 115
PMB 145
Las Vegas, NV 89129 - Phone
- (808) 445-5879
- NPI assigned
- Mar 30, 2026
- Last updated
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 850534 | NV | Primary |
Addresses
Primary practice location
10470 W. Cheyenne Ave. Ste 115
PMB 145
Las Vegas, NV 89129
Mailing address
10470 W. Cheyenne Ave. Ste 115
PMB 145
Las Vegas, NV 89129
Phone (808) 445-5879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
4055 Valley View LN
Suite 400
Dallas, TX 75244-5071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 850534 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1508706995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 W. CHEYENNE AVE. STE 115",
"address_2": "PMB 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "808-445-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 W. CHEYENNE AVE. STE 115",
"address_2": "PMB 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "808-445-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "JASMINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "850534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.