Individual provider Active NPI

Richard Nunez Dominguez

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1912817958
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227680 Issued in AZ
Practice address
19003 W Sheffer Ave
Buckeye, AZ 85326-5739
Phone
(602) 585-5900
NPI assigned
Sep 10, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 227680 AZ Primary

Addresses

Primary practice location

19003 W Sheffer Ave
Buckeye, AZ 85326-5739

Mailing address

19003 W Sheffer Ave
Buckeye, AZ 85326-5739
Phone (602) 585-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1912817958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19003 W SHEFFER AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265739",
            "telephone_number": "602-585-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19003 W SHEFFER AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265739",
            "telephone_number": "602-585-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ DOMINGUEZ",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.