JESSICA DOMINGUEZ (NPI# 1225649973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225649973 |
| Entity Type | Individual |
| Full Name | JESSICA DOMINGUEZ |
| Practice Address |
300 N Commercial St Ste 200 Neenah WI 54956-2619 |
| Practice Telephone | 9208860818 |
| Practice Fax Number | 9208860773 |
| Mailing Telephone | 9208860818 |
| Mailing Fax Number | 9208860773 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10242-33 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154853463 | Jessica Dominguez | Specialist/Technologist | 636 Sitka Dr, Walnut Creek, CA 94598-1738 | 2017-03-28 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1649886292 | Jessica Elizabeth Dominguez | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2020-09-18 |
| 1063042802 | Jessica Dominguez | Massage Therapist | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2020-01-21 |
| 1720588247 | Jessica Paola Dominguez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-02-21 |
| 1275988396 | Jessica Dominguez | Internal Medicine | 6431 Fannin St, Suite Msb 1.134, Houston, TX 77030-1501 | 2016-04-26 |
| 1083047948 | Jessica Dominguez | Student in an Organized Health Care Education/Training Program | 1980 Allston Way, Berkeley, CA 94704-1463 | 2013-08-14 |
| 1326323213 | Jessica Dominguez | Pharmacist | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2011-10-11 |
| 1407176209 | Jessica Catherine Dominguez | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2010-06-03 |
| 1700038064 | Jessica Suheit Dominguez | Counselor | 490 Chadbourne Rd, Ste A, Fairfield, CA 94534-9613 | 2008-10-17 |
| Street Address |
300 N COMMERCIAL ST STE 200 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189755 | Dawn Marie Dymond-rebman | Nurse Practitioner | 1857 Oakview Dr, Neenah, WI 54956-1748 | 2019-02-07 |
| 1043697048 | Amanda Kay Douma | Nurse Practitioner | 333 N Green Bay Rd Ste B, Neenah, WI 54956-1954 | 2015-04-29 |
| 1649477175 | Jennifer Yates | Nurse Practitioner | 325 N Commercial St Ste 400, Neenah, WI 54956-2665 | 2007-06-28 |
| 1639386493 | Pamela Anne Stano | Nurse Practitioner | 2100 County Road II, Neenah, WI 54956-9317 | 2007-05-17 |
| 1659911329 | Julia A Stoffel | Nurse Practitioner | 130 2nd St, Neenah, WI 54956-2883 | 2020-01-10 |
| 1144864356 | Marie K Vanhecke | Nurse Practitioner | 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763 | 2019-10-30 |
| 1235785478 | Arienne Krizenesky | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2019-08-13 |
| 1417434044 | Christine Elizabeth Mcgee | Nurse Practitioner | 1305 W American Dr, Neenah, WI 54956-1993 | 2018-07-26 |
| 1225526205 | Caroline A Abel | Nurse Practitioner | 200 Theda Clark Medical Plz Ste 130, Neenah, WI 54956-2790 | 2018-04-25 |
| 1952827008 | Amanda C Janosik | Nurse Practitioner | 333 N Green Bay Rd, Neenah, WI 54956-1954 | 2017-08-21 |
| Find all providers in NEENAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.