Dominique McCormack, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

161958 Issued in IA

Practice address

1020 N Quincy Ave Ste 1
Ottumwa, IA 52501-3810

Phone

(641) 668-3430

Fax

(641) 683-4301

NPI assigned

Nov 18, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1568322865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 CRESTVIEW AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011230",
            "telephone_number": "641-683-4300",
            "fax_number": "641-683-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N QUINCY AVE STE 1",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013810",
            "telephone_number": "641-668-3430",
            "fax_number": "641-683-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "DOMINIQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IA",
            "license": "161958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Mattson
• Jane Louise Matzen, ARNP
• Kristin Mayson, ATC
• Elvin W McCarl, M.D.
• Wendy Kay McCarty, CDAC PROVIDOR
• Cyndi J McCormick, D.O.
• Susan McDaniel, RN
• Kristi McDonough, RN
• Michelle McElroy, PTA
• William John McMillan, M.D.

• Ambulatory Care Registered Nurse in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Ambulatory Care Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.