Ginette Marie Didomenico, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60508368 Issued in WA

Practice address

27715 NE 20TH PL
Carnation, WA 98014-8211

Phone

(425) 221-4657

NPI assigned

Oct 8, 2014

Last updated

Jun 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Nvelup Telehealth PLLCGroup PAC ID 7719398569, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ginette.didomenico.1@25305.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25305/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nvelup Telehealth PLLC

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1356952766
  Medicare reassignment Care Compare group NPD
• Nvelup Telehealth PLLC

  dba NVelUp Oregon

  • Psychiatry Physician
  • Portland, OR
  • NPI 1386593465
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1558764233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980141162",
            "telephone_number": "425-221-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27715 NE 20TH PL",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148211",
            "telephone_number": "425-221-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO",
        "first_name": "GINETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60508368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Birth Group
• Jacqueline Marie Conquest, MA., LMHC., CCH
• Carlos Cruz, COTA
• Donald Joseph David, LPN
• Edmund Joseph Decato, PA-SA
• Sarah Luann Dodge, D.C.
• Andrea Beatrice Eaton-Lupas, PHD
• Siri Gillespie, MSW, MED, PHD
• Richard Allen Green, RPT
• Robin Anne Halloran, RN

• Psychiatric/Mental Health Nurse Practitioner in Carnation, WA
• Providers in Carnation, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.

Verify at the official NPI Registry.