Active NPI
Anita Michelle Dominguez, RN
- Home Health Registered Nurse
- Austin, TX
National Provider Identifier
1669021382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 839522
- Practice address
- 13915 Burnet Rd Ste 303
Austin, TX 78728-6505 - Phone
- (512) 269-5425
- Fax
- (512) 996-9905
- NPI assigned
- Sep 5, 2019
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 839522 | TX | Primary |
Addresses
Primary practice location
13915 Burnet Rd Ste 303
Austin, TX 78728-6505
Mailing address
13915 Burnet Rd Ste 303
Austin, TX 78728-6505
Phone (512) 269-5425
Other names 1
- Anita Michelle Cruz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lyndag@angelsofcare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839522 | TX | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1669021382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13915 BURNET RD STE 303",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286505",
"telephone_number": "512-269-5425",
"fax_number": "512-996-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13915 BURNET RD STE 303",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286505",
"telephone_number": "512-269-5425",
"fax_number": "512-996-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "ANITA",
"middle_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "839522",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lyndag@angelsofcare.com",
"affiliation": "N",
"endpointDescription": "confidential email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13915 Burnet Rd Ste 303",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787286505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANITA",
"last_name": "CRUZ",
"middle_name": "MICHELLE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.