Active NPI
Jardin Domino, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024196237
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1169345 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 203397 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024196237 | VA | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
1535 Canal St
New Orleans, LA 70112-2822
Phone (225) 892-1742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (469) 998-7450
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
3301 Matlock Rd
Arlington, TX 76015-2908
Phone (469) 607-2276
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000
6250 US Hwy 83
Abilene, TX 79606-5215
Phone (325) 428-1010
751 N
18TH
Abilene, TX 79601
Phone (915) 676-0557
Hospital & facility affiliations
- Hendrick Medical Center
- Sentara Virginia Beach General Hospital
- Sentara Leigh Hospital
- Medical City Arlington
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203397 | LA | MD | Certified Registered Nurse Anesthetist |
| 0024196237 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| NTX Anesthesiology Consultants PLLC | Current | Accepting new patients |
Locations
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
3500 Gaston Ave
Dallas, TX 75246
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
Organizations & group practices 5
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.
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1912410739
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1942049689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-366-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "1535 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122822",
"country_code": "US",
"telephone_number": "225-892-1742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINO",
"first_name": "JARDIN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1169345",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "203397",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024196237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.