ASHLEY DOMETRIUS (NPI# 1730540097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730540097 |
| Entity Type | Individual |
| Full Name | ASHLEY DOMETRIUS |
| Practice Address |
4015 22nd Pl Lubbock TX 79410-1119 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8067250030 |
| Practice Fax Number | 8067250015 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP130554 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4015 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608040 | Lara W. Johnson | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2006-07-27 |
| 1275005233 | Shanna Diane Morrow | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2018-12-31 |
| 1609380666 | Whitney Kay Dean | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-11-28 |
| 1144733262 | Kira Cox | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-11-10 |
| 1912426487 | Mandy Lee | Registered Nurse | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-09-15 |
| 1316484538 | Haley Rowden | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2017-01-25 |
| 1396156857 | Caleb John Cook | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2014-05-17 |
| 1962813600 | Danielle Walker | Pediatrics | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2014-05-15 |
| 1023456431 | Natalie Nimer Smith | Pediatrics | 4015 22nd Pl, Lubbock, TX 79410 | 2013-06-07 |
| 1164781381 | Stacy Elaine Neudorf | Physician Assistant | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558720045 | Dawn Conwright | Nurse Practitioner | 6809 Slide Rd Ste J, Lubbock, TX 79424-1517 | 2016-02-12 |
| 1538133087 | Wailong Don Lam | Nurse Practitioner | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-02-13 |
| 1851935365 | Jasmine Sanchez-ximenez | Nurse Practitioner | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2019-10-29 |
| 1386108033 | Sara Victoria Chapa | Nurse Practitioner | 416 Frankford Ave, Lubbock, TX 79416-4162 | 2019-01-28 |
| 1902318736 | Olivia A Harris | Nurse Practitioner | 4102 24th St, Lubbock, TX 79410 | 2017-11-02 |
| 1366953374 | Justin Mark Hafner | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-10-17 |
| 1134671159 | Zakri Redding | Nurse Practitioner | 5022 Avenue Q, Lubbock, TX 79412 | 2016-10-25 |
| 1336511732 | Meghan Gwyneth Oldham | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415 | 2015-10-24 |
| 1912378118 | Clayton Womack | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2015-10-13 |
| 1699146381 | Raela Stander | Nurse Practitioner | 4102 24th St Ste 504, Lubbock, TX 79410 | 2015-10-07 |
| Find all providers in LUBBOCK | ||||
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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.