Dominque Lacatherine Shields, APRN CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN.CNP.022247 Issued in OH

Practice address

211 Donald Dr Ste B
Fairfield, OH 45014-3006

Phone

(513) 454-1111

NPI assigned

Jan 28, 2018

Last updated

Jan 10, 2025By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio Medical University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler County Community Health Consortium IncGroup PAC ID 7810884780, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominque.shields.p5@direct.myprimaryhealth.nextgenshare.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.

• Butler County Community Health Consortium Inc

  • Primary Care Clinic/Center
  • Middletown, OH
  • NPI 1134142631
  Medicare reassignment Care Compare group
• Butler County Community Health Consortium Inc

  • Primary Care Clinic/Center
  • Hamilton, OH
  • NPI 1487677985

  Family Medicine

  NPD
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Fairfield Township, OH
  • NPI 1073322616
  NPD
• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairfield, OH
  • NPI 1689046120
  NPD (past)
• Butler County Community Health Consortium, Inc.

  dba Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Middletown, OH
  • NPI 1700821386
  NPD (past)

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

• Mercy Health - Fairfield Hospital LLC

  dba Mercy Health - Fairfield Hospital

  • General Acute Care Hospital
  • Fairfield, OH
  • NPI 1467552471
  Care Compare affiliation

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1720586423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DONALD DR STE B",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143006",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 S Verity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450445513",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "DOMINQUE",
        "middle_name": "LACATHERINE",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.022247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442243",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominiques@myprimaryhealthsolutions.org",
            "affiliation": "N",
            "address_1": "211 Donald Dr Ste B",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450143006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohammad Nabeel Shah, APRN
• Deshannon Nicol Shearer
• Jennifer E Sheehy, M.A., CCC-SLP
• Emana Sheikh-Kapadia
• Eugene Frank Sherwood, DPM
• Jaime Shields, RN
• Shifaa Serenity Therapy Solutions
• Brian Short, DPM
• Jessica Renee Short
• Dean A Shoup, LMT

• Family Medicine Physician in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.