Domenique Edwards, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DOMENIQUE EDWARDS, PLLC

Practice address

5602 California Ave SW
Seattle, WA 98136-1515

Phone

(206) 538-2255

Fax

(206) 538-2266

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Domenique Edwards, ARNPNPI 1336675529

Title

Owner/Provider

Phone

(206) 538-2255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Domenique Edwards, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1336675529
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1821751702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SW NEVADA ST UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262535",
            "telephone_number": "206-920-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361515",
            "telephone_number": "206-538-2255",
            "fax_number": "206-538-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMENIQUE EDWARDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DOMENIQUE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-538-2255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1336675529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo-Ana Dolojan, ARNP
• Hilary Dolstad, MD
• Grace E Dolton, LMP
• Domain Psychiatry, PLLC
• Julia Cook Dombrowski, MD
• Liza M Dominguez-Colman, MD
• Amairani Dominguez
• Marquicia Dominguez, MED, BCBA, LBA
• Olivia Dominguez, DPT
• Dominick Curalli, DDS, PLLC

• Psychiatry Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.