Casey Domine

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

363LP0200X Issued in CO

Practice address

10099 Ridgegate Pkwy Ste 290
Lone Tree, CO 80124-5534

Phone

(303) 803-1005

Fax

(303) 798-3248

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Onpoint Medical Group, LLC

  • Pediatrics Physician
  • Lone Tree, CO
  • NPI 1679813851
  NPD (past)
• Overlake Medical Center & Clinics

  • General Acute Care Hospital
  • Bellevue, WA
  • NPI 1861432726
  NPD (past)
• Swedish Health Services

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1306992151
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1851990832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292277",
            "telephone_number": "303-803-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY STE 290",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245534",
            "telephone_number": "303-803-1005",
            "fax_number": "303-798-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 S Broadway Ste 540",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222635",
            "country_code": "US",
            "telephone_number": "303-779-3013",
            "fax_number": "303-779-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6011 E Woodmen Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232603",
            "country_code": "US",
            "telephone_number": "719-638-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINE",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "363LP0200X",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95015310",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61457920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George T Dicarlo, PHARMD
• Cristian L Dinescu, MD
• Cara Dobbertin
• Tyler Phillip Dobelbower, LPC
• Samantha Dolphin, MS
• Simone Nicole Domme, FNP-C
• Siwen Dong
• Jayna Doshi, MD
• Samantha Rose Dowling, PT, DPT
• Derek Draper, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.