Georgette Domenech

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

840115 Issued in NV

Practice address

4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854

Phone

(702) 463-0300

NPI assigned

Dec 29, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jed Adam Enterprises, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1598901100
  NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1699544759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 UNIVERSITY CENTER DR UNIT 2212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197508",
            "telephone_number": "262-902-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190854",
            "telephone_number": "702-463-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENECH",
        "first_name": "GEORGETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "840115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Halina Domanski, M.D
• Thomas Mark Dombroski, LCSW
• Margaret M Dombrowski, DTR
• Jolica Marie Geronimo Domdom
• Tashale Marie Domen
• Monica Domenech
• Stacey Domers
• Domiano-Sader Therapy LLC.
• Nancy Domiano-Sader, LCSW
• Logan Domingez

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.