Elizabeth M. Domico, MS, CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0000001252 Issued in TN

Practice address

7901 Poplar Ave
Germantown, TN 38138-5006

Phone

(901) 758-2228

Fax

(901) 531-6731

NPI assigned

Jul 6, 2006

Last updated

Jun 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speech and Hearing Center of the Mid-SouthGroup PAC ID 8527111483, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech and Hearing Center of the Mid-South

  dba Memphis oral School for the Deaf

  • Audiologist
  • Germantown, TN
  • NPI 1801059613
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1619909322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 POPLAR AVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385006",
            "telephone_number": "901-758-2228",
            "fax_number": "901-531-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 POPLAR AVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385006",
            "telephone_number": "901-758-2228",
            "fax_number": "901-531-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMICO",
        "first_name": "ELIZABETH",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MS, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna R. Dillon
• James Richard Dismukes, MD
• Mallory McGoff Dixon, DNP FNP-C
• Telisha Dixon, FNP
• Christian Dodd, PHARMD
• Donald J Sullivan MD
• Heather O Donato, M.D.
• Francis Daniel Donovan Jr., MD
• William Dorsey
• Michella Glenna Douglas, PA-C

• Audiologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.

Verify at the official NPI Registry.