CASEY DOMINE (NPI# 1851990832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851990832 |
| Entity Type | Individual |
| Full Name | CASEY DOMINE |
| Practice Address |
1750 10th St. Apt. A Oakland CA 94607 |
| Practice Telephone | 8182354205 |
| Mailing Telephone | 8182354205 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95015310 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1750 10TH ST. APT. A |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| 1497280663 | Rachel Krow-boniske | Student in an Organized Health Care Education/Training Program | 1266 14th St., Oakland, CA 94607 | 2017-04-26 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356687651 | Kristine Carter | Nurse Practitioner | 991 14th St Bldg H, Oakland, CA 94607-3230 | 2012-12-14 |
| 1497029144 | Megan Keating | Nurse Practitioner | 757 52nd St., Oakland, CA 94609 | 2012-02-28 |
| 1801079629 | Angelique Champeau Hinds | Nurse Practitioner | 744 52nd St Ste 4100, Oakland, CA 94609-1810 | 2007-12-14 |
| 1821621269 | Rita Bolous Mccowan | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2020-02-13 |
| 1962048488 | Mellany Ann Aquino | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2019-11-19 |
| 1366923138 | Jessica Olivero | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2018-08-28 |
| 1093220485 | Julia Alysse Reisman | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-12-06 |
| 1043724719 | Anna X Liang | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-11-16 |
| 1477091965 | Bianca Juarez | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-02-06 |
| 1003351560 | Shelley Anne Bull | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2016-12-19 |
| Find all providers in OAKLAND | ||||
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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.