Active NPI
Mylena Avalos Dominguez, RD
- Registered Dietitian
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86046227
- Practice address
- 839 W Congress St
Tucson, AZ 85745-2819 - Phone
- (520) 670-3909
- Fax
- (520) 309-2560
- NPI assigned
- Aug 6, 2018
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86046227 | AZ | Primary |
Addresses
Primary practice location
839 W Congress St
Tucson, AZ 85745-2819
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191205001152 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 1355695487 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86046227 | AZ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Current | Accepting new patients | |
| St Elizabeths Health Center Inc | Current | Accepting new patients | |
| Catholic Community Services of Southern Arizona, Inc. | Current | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients | |
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients |
Locations
225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857
3655 E Grant Rd
Tucson, AZ 85716
Phone (520) 440-6323
434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250
1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006
3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778
101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096
6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250
1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316
4550 S Palo Verde Rd
Bldg 1
Tucson, AZ 85714
7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039
140 W Speedway Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 628-7871
839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707
320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663
Organizations & group practices 21
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.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
AZ
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1104116029
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1477204485
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1750672929
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1912440975
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1932777489
-
- Federally Qualified Health Center (FQHC)
- Holbrook, AZ
- NPI 1790632461
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1033400205
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1114218385
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1790249837
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1831730795
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Rio Santa Cruz Neighborhood Health Center, Inc.
Practice addresses (Care Compare)
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1861970337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "MYLENA",
"middle_name": "AVALOS",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AZ",
"license": "86046227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.