LYDIA DOMINGUEZ (NPI# 1689975153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689975153 |
| Entity Type | Individual |
| Full Name | LYDIA DOMINGUEZ |
| Credential | FNP |
| Practice Address |
Highway 107 & La Feria Ave. Santa Rosa TX 78593 |
| Mailing Address |
1706 Treasure Hills Blvd Harlingen TX 78550-8911 |
| Practice Telephone | 9563656071 |
| Practice Fax Number | 9563656072 |
| Mailing Telephone | 9563656750 |
| Mailing Fax Number | 9563656779 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
255020 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 255020 | 01 |
| Street Address |
HIGHWAY 107 & LA FERIA AVE. |
| City | SANTA ROSA |
| State | TX |
| Zip Code | 78593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831376474 | Healing Hands With Advanced Care Services Incorporated | Home Health | 113 Jesus Cruz, Santa Rosa, TX 78593 | 2008-01-25 |
| 1487846275 | Halo Health Services Inc. | Home Health | 109 Santa Rosa Blvd., Santa Rosa, TX 78593 | 2007-08-15 |
| 1003938622 | Santa Rosa Isd | Local Education Agency (LEA) | Hwy 107 & E. Cruz St., Santa Rosa, TX 78593 | 2007-04-04 |
| 1316075518 | El#1adultdaycare | Clinic/Center | 11861 West Hwy 107, Santa Rosa, TX 78593 | 2007-03-01 |
| 1225130578 | C H Wilkinson Physician Network | Clinic/Center | Highway 107 and La Feria Ave, Santa Rosa, TX 78593 | 2006-09-05 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
| 1386960862 | Su Clinica Familiar | Clinic/Center | Hwy 107 and La Feria Avenue, Santa Rosa, TX 78593-0226 | 2010-04-09 |
| 1093293243 | Juanita Zepeda | Licensed Vocational Nurse | 21204 Hooks and Hodges Rd, Santa Rosa, TX 78593-2018 | 2018-07-31 |
| 1174861678 | Valley Labs | Clinical Medical Laboratory | 20476 Thompson Rd, Santa Rosa, TX 78593-2084 | 2013-01-18 |
| Find all providers in zip 78593 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160234 | Susan English Knowles | Nurse Practitioner | 3383 Airway Dr, Santa Rosa, CA 95403-2005 | 2018-07-18 |
| 1912498726 | Lydia Ann Smith | Nurse Practitioner | 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 | 2018-05-29 |
| 1659870186 | Shannon Cross Todd | Nurse Practitioner | 4729a Hoen Ave, Santa Rosa, CA 95405-7862 | 2018-02-11 |
| 1093222408 | Mary Esther Andich | Nurse Practitioner | 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 | 2018-01-08 |
| 1316473697 | Renee Novakovich | Nurse Practitioner | 704 Adobe Dr, Santa Rosa, CA 95404-2706 | 2017-05-05 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1437549235 | Jennifer Takagi | Nurse Practitioner | 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 | 2015-01-31 |
| 1164828828 | Danielle J Daye | Nurse Practitioner | 50 Montgomery Dr, Santa Rosa, CA 95404-6615 | 2014-11-07 |
| 1609208354 | Derrick Pelton | Nurse Practitioner | 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 | 2013-08-05 |
| 1225313869 | Kristine Monson Brown | Nurse Practitioner | 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 | 2011-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 78593 |
Please comment or provide details below to improve the information on LYDIA DOMINGUEZ.
| 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.