Viviana Amanda Dominguez, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118292 Issued in TX

Practice address

1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041

Phone

(915) 257-5782

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEHDCD

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.

• Pediatric Gi of El Paso, PLLC

  • Pediatric Gastroenterology Physician
  • El Paso, TX
  • NPI 1689262313

  Speech-Language Pathologist

  Medicare reassignment NPD
• Early Bird Pediatric Therapy Clinic, Inc

  • Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1639538077
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1790355436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GEORGE ORR RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799153528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N ZARAGOZA RD STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368041",
            "telephone_number": "915-257-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "VIVIANA",
        "middle_name": "AMANDA",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie Lugo Dominguez, RPH
• Rossalee Dominguez
• Sara Dominguez, MEDICAL INTERPRETER
• Stacy Dominguez, BCBA
• Victor Dominguez, AGACNP
• Zaraida A Dominguez, P.T.
• Dominion Ambulance, LLC
• Dominion Medical Services, PLLC
• Don L PLLC
• Jesus Alberto Donacio, MSW

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.