Lissette Dominguez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11006296 Issued in FL

Practice address

11126 NW 4TH Ter
Miami, FL 33172-3639

Phone

(059) 109-5993

NPI assigned

Jul 9, 2020

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

Enrolled in FL

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ameri-Care Professional Service Inc Home health agency, Hialeah, FL, CCN 108093
• Calura Home Health Services Inc Home health agency, Miami, FL, CCN 108179
• Dial 4 Care, Inc Home health agency, Miami Lakes, FL, CCN 109430

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Cosme Medical Center LLC

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1609605328
  Medicare reassignment NPD
• Golden Years Behavioral Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1447859137
  Medicare reassignment NPD
• Joyful Home Health Services, Corp

  • In Home Supportive Care Agency
  • Miami, FL
  • NPI 1700134129
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ameri-Care Professional Service, Inc.

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1225122351
  Care Compare affiliation
• Calura Home Health Services, Inc.

  • Home Health Agency
  • Doral, FL
  • NPI 1669498747
  Care Compare affiliation
• Dial 4 Care, Inc.

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1124299078
  Care Compare affiliation

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1710505482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12159 SW 132ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-251-4989",
            "fax_number": "305-251-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 NW 4TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723639",
            "telephone_number": "059-109-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "LISSETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn N Dominguez, LMHC
• Kaylem Dominguez
• Kibel Quesada Dominguez
• Krystal Dominguez, PA-C
• Leanna Dominguez
• Magaly Dominguez
• Maria A. Dominguez
• Maria Carla Dominguez, M.D.
• Marisol Dominguez
• Maryann Dominguez, M.S.

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.