Organization Active NPI

Domus Medical House Calls, LLC

  • Adult Health Clinical Nurse Specialist
  • Saint Louis, MO
National Provider Identifier
1992055099
Registry record updated Sep 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
Legal business name
DOMUS MEDICAL HOUSE CALLS, LLC
Practice address
13380 Amiot Dr
Saint Louis, MO 63146-2239
Phone
(314) 910-1372
Fax
(314) 542-0894
NPI assigned
Sep 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2012

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

Authorized official

Name
Irina Palatnik, ANP
Title
Owner
Phone
(314) 910-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2200X Primary

Addresses

Primary practice location

13380 Amiot Dr
Saint Louis, MO 63146-2239

Mailing address

13380 Amiot Dr
Saint Louis, MO 63146-2239
Phone (314) 910-1372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347753600000",
    "number": "1992055099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631462239",
            "telephone_number": "314-910-1372",
            "fax_number": "314-542-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13380 AMIOT DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631462239",
            "telephone_number": "314-910-1372",
            "fax_number": "314-542-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMUS MEDICAL HOUSE CALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-16",
        "last_updated": "2012-09-16",
        "status": "A",
        "authorized_official_last_name": "PALATNIK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-910-1372",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.