Amy Dominski, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

125-154 Issued in WI

Practice address

816 Porter Ave
Eau Claire, WI 54701-3813

Phone

(715) 832-1591

NPI assigned

Feb 2, 2009

Last updated

Jan 2, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1750529558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 CUMMINGS AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017325",
            "telephone_number": "715-579-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 PORTER AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013813",
            "telephone_number": "715-832-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINSKI",
        "first_name": "AMY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "125-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emad Mustafa Dodin, MD
• Nicole Doering
• Joseph William Dolan, MD
• Phillip Dolan
• Hannah Dolgner, BSW
• Monica Jane Donnellan, RDH BS
• Lisa Dorn, LPC
• Patricia L Dorn, LPC
• Shawn Dotson
• Phillip R Douglas, DDS

• Speech-Language Pathologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.