Active NPI
Dominique Maria Colvard, PA
- Physician Assistant
- Londonderry, NH
National Provider Identifier
1861131898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 42 Nashua Road
Londonderry, NH 03053 - Phone
- (603) 413-6800
- Fax
- (603) 413-6803
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
42 Nashua Road
Londonderry, NH 03053
Mailing address
42 Nashua Road
Londonderry, NH 03053
Phone (603) 413-6800
Other names 1
- Dominique Maria Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1861131898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 NASHUA ROAD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "03053",
"telephone_number": "603-413-6800",
"fax_number": "603-413-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 NASHUA ROAD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "03053",
"telephone_number": "603-413-6800",
"fax_number": "603-413-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVARD",
"first_name": "DOMINIQUE",
"middle_name": "MARIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2023-01-30",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "WASHINGTON",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Londonderry, NH
- Clear Steps Recovery Corp
- Megan Cleary, PHARM D
- Linda Almquist Coate, RPH
- Cognitive Compass Therapy
- Richard A Cohen, RPH
- Compounding Pharmacy of Southern New Hampshire Inc (Londonderry Compounding Pharmacy)
- Comprehensive Healthcare Inc
- Concentra Health Services, Inc.
- Concord Orthopaedics Professional Association
- Michael Conroy Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.