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JOANNA BETH DOMINICK DNP PMHNP-BC FNP-C NPI 1174788145


NPI Information

NPI: 1174788145
Provider Name: JOANNA BETH DOMINICK, DNP, PMHNP-BC, FNP-C
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
72 SUTTLE ST
SUITE B
DURANGO, CO
ZIP 81303
Phone: (970) 444-2429
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Joanna Beth Dominick, DNP, PMHNP-BC, FNP-C is a psychiatric/mental health nurse practitioner in Durango, CO with 12 years of experience. Joanna Beth Dominick, DNP, PMHNP-BC, FNP-C NPI is 1174788145. 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:

72 SUTTLE ST
SUITE B
DURANGO, CO
ZIP 81303
Phone: (970) 444-2429
Fax: (630) 647-4726

The NPI 1174788145 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 7/18/2008 and was last updated on 5/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAPN.005295-NPCOLORADONo
2363LF0000XNurse PractitionerFamilyAPN.005295-NPNEW MEXICONo
3363LF0000XNurse PractitionerFamily5295COLORADONo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.005295-NPNEW MEXICONo
5363LP0808XNurse PractitionerPsychiatric/Mental Health5295COLORADONo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.005295-NPCOLORADOYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.