LINDA DOMINGUEZ (NPI# 1265491146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265491146 |
| Entity Type | Individual |
| Full Name | LINDA DOMINGUEZ |
| Credential | CNP |
| Practice Address |
883 Lead Avenue Se Suite A Alb NM 87102 |
| Mailing Address |
883 Lead Ave Se Ste A Albuquerque NM 87102-3644 |
| Practice Telephone | 5058437131 |
| Practice Fax Number | 5052469421 |
| Mailing Telephone | 5058437131 |
| Mailing Fax Number | 5052469421 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2008-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
R20342 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 91447 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170684 | Linda Dominguez | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2018-10-19 |
| 1275698409 | Linda Dominguez | Counselor | 3103 E Cartwright Ave, Fresno, CA 93725 | 2006-12-27 |
| Street Address |
883 LEAD AVENUE SE SUITE A |
| City | ALB |
| State | NM |
| Zip Code | 87102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336322064 | Saundra K Mckenna | Nurse Practitioner | 2074 Galisteo St Ste B1, Santa Fe, NM 87505-2157 | 2007-12-17 |
| 1356392989 | Kristen Gorbitz | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-16 |
| 1366439606 | Michelle Marie Harmon | Nurse Practitioner | 208 W Casablanca Cannon Afb, Bldg 1400 27 Medical Group, Clovis, NM 88103-5014 | 2005-10-03 |
| 1740273192 | Celeste Baczeski Suminsby | Nurse Practitioner | 6320 Riverside Plaza Ln Nw Ste A, Albuquerque, NM 87120 | 2005-08-31 |
| 1215933759 | Kathleen Jo Austin | Nurse Practitioner | 385 Calle De Alegra, Bldg. C, Las Cruces, NM 88005 | 2005-06-21 |
| 1821492638 | Melissa Ashley Sprinkle | Nurse Practitioner | 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 | 2014-10-22 |
| 1689920449 | Rebecca Tawney Weatherford | Nurse Practitioner | 3741 Rutledge Rd Ne, Albuquerque, NM 87109-5566 | 2012-07-31 |
| 1679865844 | Phyllis Estes Bergman | Nurse Practitioner | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4117 | 2011-05-06 |
| 1124262415 | San Juan Regional Medical Center Inc | Nurse Practitioner | 655 W Pinon St, Farmington, NM 87401-5973 | 2009-04-30 |
| 1942445101 | Rose Rowan | Nurse Practitioner | 801 Vassar Dr Ne, Albuquerque, NM 87106 | 2008-12-02 |
| Find all providers with the same taxonomy | ||||
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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.