CASEY DOMINE NPI 1851990832

NPI Information

NPI: 1851990832
Provider Name: CASEY DOMINE
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
6011 E WOODMEN RD STE 115
COLORADO SPRINGS, CO
ZIP 80923
Phone: (719) 638-1122
Get Directions

Casey Domine is a pediatrics nurse practitioner in Colorado Springs, CO. Casey Domine NPI is 1851990832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6011 E WOODMEN RD STE 115
COLORADO SPRINGS, CO
ZIP 80923-603
Phone: (719) 638-1122

The enumeration date for this NPI number is 10/21/2020 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	363LP0200X	COLORADO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	95015310	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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