Individual provider Active NPI

Yamilaidy Dominguez Hernandez, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1922659150
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9389215 Issued in FL
Practice address
3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone
(561) 227-2772
Fax
(561) 209-0154
NPI assigned
Sep 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 9389215 FL Primary

Addresses

Primary practice location

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812

Mailing address

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003542 FL Practitioner - Nurse Practitioner 0648616680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Medical Center PA 9Group PAC ID 8820473754, 4 clinicians

Practice addresses (Care Compare)

3325 Forest Hill Blvd
Suite B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9389215FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center PA #9 CurrentSince Mar 6, 2024 Accepting new patients
Soma Medical Center, PA PastSince Mar 6, 2024 Accepting new patients

Locations

3325 Forest Hill Blvd
Ste B
West Palm Beach, FL 33406
Phone (561) 227-2772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JABFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1922659150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ HERNANDEZ",
        "first_name": "YAMILAIDY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9389215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.