Active NPI
Kristin Dominguez, MS, RD, LDN
- Renal Nutrition Registered Dietitian
- Hudson, FL
National Provider Identifier
1568128676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- ND6160
- Practice address
- 14134 Nephron LN
Hudson, FL 34667-8554 - Phone
- (727) 863-5418
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | ND6160 | FL | Primary |
Addresses
Primary practice location
14134 Nephron LN
Hudson, FL 34667-8554
Mailing address
15072 Caravan Ave
Odessa, FL 33556-4376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.84 of 100
- Quality
- 43.55
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 76.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Kidney Partners, LLP | Current | Accepting new patients |
Locations
14134 Nephron Ln
Ste 14134
Hudson, FL 34667
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
2967 Landover Blvd
Spring Hill, FL 34608
Phone (352) 684-5323
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kdominguez77017@direct.acumenmd.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Florida Kidney & Hypertension Clinic
- Nephrology Physician
- Hudson, FL
- NPI 1780684795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1568128676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15072 CARAVAN AVE",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14134 NEPHRON LN",
"city": "HUDSON",
"state": "FL",
"postal_code": "346678554",
"telephone_number": "727-863-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "KRISTIN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2023-07-06",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "FL",
"license": "ND6160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.