Individual provider Active NPI

Nathalie Dominguez, ARNP

  • Adult Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1770820763
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9328270 Issued in FL
Practice address
10244 Andover Coach Cir
Lake Worth, FL 33449-8170
Phone
(917) 573-6966
NPI assigned
Jan 10, 2013
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9328270 FL Primary

Addresses

Primary practice location

10244 Andover Coach Cir
Lake Worth, FL 33449-8170

Mailing address

10244 Andover Coach Cir
Lake Worth, FL 33449-8170
Phone (917) 573-6966

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130524000581 FL Practitioner - Nurse Practitioner 6103064555 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accountable Teaching Services LLCGroup PAC ID 0941568992, 21 clinicians
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 766-1301

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9328270FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc CurrentSince Apr 1, 2021 Accepting new patients
Chatsworth at Wellington Green LLC CurrentSince May 1, 2020 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Accountable Care Hospitalist Group CurrentSince May 1, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Nov 1, 2020 Accepting new patients
Hospitalist Group of the Palm Beaches PA CurrentSince Jun 1, 2019 Accepting new patients
Accountable Teaching Services LLC CurrentSince Nov 20, 2024 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone (561) 635-8768

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1770820763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10244 ANDOVER COACH CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498170",
            "telephone_number": "917-573-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 ANDOVER COACH CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498170",
            "telephone_number": "917-573-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "NATHALIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9328270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.