Simone Nicole Domme, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0995677 Issued in CO

Practice address

9362 Teddy LN Ste 204
Lone Tree, CO 80124-2871

Phone

(720) 507-7278

NPI assigned

Oct 6, 2020

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1821695404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9362 TEDDY LN STE 204",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242871",
            "telephone_number": "720-507-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9362 TEDDY LN STE 204",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242871",
            "telephone_number": "720-507-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMME",
        "first_name": "SIMONE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian L Dinescu, MD
• Cara Dobbertin
• Tyler Phillip Dobelbower, LPC
• Samantha Dolphin, MS
• Casey Domine
• Siwen Dong
• Jayna Doshi, MD
• Samantha Rose Dowling, PT, DPT
• Derek Draper, MD
• Dreamwork Anesthesia, PC

• Family Nurse Practitioner in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.