Active NPI
Kara Beth Domaingue, RD
- Renal Nutrition Registered Dietitian
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 000663
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000663 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Current | 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.
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
dba Fresenius Medical Care of Western Hartford
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bloomfield, CT
- NPI 1013228816
-
dba Fresenius Medical Care East Hartford
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Hartford, CT
- NPI 1407889876
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
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.