Kate Winslet C Domingo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21167816 Issued in CA

Practice address

354 Cernon St
Vacaville, CA 95688-4502

Phone

(707) 685-0899

NPI assigned

Jun 28, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1831769330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 EVERGREEN AVE",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092630",
            "telephone_number": "925-597-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502",
            "telephone_number": "707-685-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "KATE WINSLET",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "21167816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Edwin Doig, MD
• Farzaneh Dokhani, MD
• Melissa Harris Dole, DDS
• Christina Dolores
• Brea Arties Dolton
• Jessica Suheit Dominguez, B.S.
• Madeline Kate Donk
• Doorstep Primary Care L.L.C
• Sara Elizabeth Dorsey, AMFT
• Rachel Katherine Doucette

• Behavior Technician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.