Karley Elizabeth Domingue, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

229433 Issued in LA

Practice address

2031 Audubon Ave
Thibodaux, LA 70301-5073

Phone

(985) 803-8383

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By 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 LA

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thibodaux Regional Urgent Care LLCGroup PAC ID 4486042553, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.49 of 100Reported as group

Quality

53.82

Promoting interoperability

99

Improvement activities

40

Cost

78.66

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25352/brand/1/csg/1/fhir/r4
• Direct secure messaging: karley.domingue.1@25352.direct.athenahealth.com

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.

• Thibodaux Regional Urgent Care LLC

  • Urgent Care Clinic/Center
  • Thibodaux, LA
  • NPI 1013683903
  Medicare reassignment Care Compare group NPD
• Thibodaux Regional Urgent Care, LLC

  dba Thibodaux Regional Urgent Care

  • Urgent Care Clinic/Center
  • Gray, LA
  • NPI 1790547370
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1639877715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 HIGHWAY 308",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "703908731",
            "telephone_number": "985-513-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 AUDUBON AVE",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015073",
            "telephone_number": "985-803-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUE",
        "first_name": "KARLEY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "229433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Truong Tony DO
• Brooke Kathleen Doalson, M.ED, LAT, ATC
• Gregory Dobard, M.D.
• Doctors Flynn Manceaux Arcement Pizzolato of Thibodaux a Professional
• Debra Gail Domangue, RPH
• Nicole Ann Dominique-Branley, MD
• Brea Angele Dominique, RD, LDN
• Stacey L Donnelly
• Thomas R Donner, MD
• Alyce Doucet, LPN

• Nurse Practitioner in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.