Nancy Viola Dominguez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

X-05958 Issued in NM

Practice address

907 West Bond Street
Espanola, NM 87532

Phone

(505) 247-0081

NPI assigned

Sep 14, 2007

Last updated

Sep 14, 2007By the provider in NPPES

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1891980603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 WEST BOND STREET",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 WEST BOND STREET",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-247-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "NANCY",
        "middle_name": "VIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "X-05958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelina C Diaz
• David Austin Dillon, REGISTERED NURSE
• Jamilah Sagirah Dixon, CADS
• Nenad Dobra, LPN
• David Dominguez-Maez, LSAA
• Valerie Dominguez
• Elizabeth Anne Donaldson, NP-C
• Michael Stephen Dondelinger, DDS
• DRS McCloskey and Meneakis
• Emily Drummond, DO

• Mental Health Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.