Individual provider Active NPI

Susana Del Angel Dominguez, LVN

  • Licensed Vocational Nurse
  • San Antonio, TX
National Provider Identifier
1952802514
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
326466 Issued in TX
Practice address
1205 W Huisache Ave Apt B
San Antonio, TX 78201-5639
Phone
(210) 843-6693
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 326466 TX Primary

Addresses

Primary practice location

1205 W Huisache Ave Apt B
San Antonio, TX 78201-5639

Mailing address

1205 W Huisache Ave Apt B
San Antonio, TX 78201-5639
Phone (210) 843-6693

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326466TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1952802514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W HUISACHE AVE APT B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015639",
            "telephone_number": "210-843-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W HUISACHE AVE APT B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015639",
            "telephone_number": "210-843-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ANGEL DOMINGUEZ",
        "first_name": "SUSANA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "326466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.