Yatanell Dominique, FNP

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

9393487 Issued in FL

Practice address

10545 NE 3Rd CT
Miami Shores, FL 33138-2009

Phone

(786) 423-2623

NPI assigned

Aug 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1992536122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 NE 3RD CT",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 NE 3RD CT",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382009",
            "telephone_number": "786-423-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINIQUE",
        "first_name": "YATANELL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "9393487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dieuvil, M.D.
• Digna Riva Inc
• Maegan Lynn Dillard
• Nicole A Dion, SLP
• Julia Dison, D.D.S.
• Julina Tillus Dorval, ARNP
• Dr Jareds Miami Shores PA
• Dr. Joel E. Vaccarezza DDS PA
• Sally Duerr-Rodriguez
• Maureen Patricia Duffy, PH.D.

• Adult Medicine Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.