Individual provider Active NPI

Kara Beth Domaingue, RD

  • Renal Nutrition Registered Dietitian
  • East Hartford, CT
National Provider Identifier
1730222563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
000663 Issued in CT
Practice address
200 Pitkin St
East Hartford, CT 06108-3220
Phone
(860) 282-6266
Fax
(860) 282-6274
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 000663 CT Primary

Addresses

Primary practice location

200 Pitkin St
East Hartford, CT 06108-3220

Mailing address

2 Azalea Lane
Ellington, CT 06029
Phone (860) 454-7043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220003234 CT Practitioner - Registered Dietitian Or Nutrition Professional 5597701474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Waterchase Dr
Rocky Hill, CT 06067-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000663CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince Dec 1, 2025 Accepting new patients
Bio-Medical Applications of Connecticut, Inc. Past Accepting new patients
Bio-Medical Applications of Connecticut, Inc. Past Accepting new patients
Litchfield County Gastroenterology Associates, LLC Past Accepting new patients

Locations

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

850 N Main Street Ext
Ste 2B3
Wallingford, CT 06492
Phone (203) 886-0036

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730222563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AZALEA LANE",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-454-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PITKIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083220",
            "telephone_number": "860-282-6266",
            "fax_number": "860-282-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAINGUE",
        "first_name": "KARA",
        "middle_name": "BETH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CT",
            "license": "000663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.