Dominique Churnetski-Hayes

Primary specialty

CounselorTaxonomy code 101Y00000X

License

10Y00000X Issued in CA

Practice address

25 N 14TH St
San Jose, CA 95112-6204

Phone

(510) 696-5810

NPI assigned

Apr 13, 2022

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

Other names 1

• Nikki Hayes Other name

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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1811639396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126204",
            "telephone_number": "510-696-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126204",
            "telephone_number": "510-696-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURNETSKI-HAYES",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "10Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "HAYES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Winston C Chung, L. AC.
• Yueh-Ju Yale Chung, M.D.
• Sonjue Chungkoltsov, L.AC.
• Ellen Mendoza Church
• Jean C Church
• Alex George Chuyanov
• Amy Brianna Chyan
• Alexander Chyorny, MD
• Daniel W. Chyu, MD
• Raymond W Chyu, M.D.

• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.