Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathy L Domiano, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1265627970

Kathy L Domiano, FNP is a Nurse Practitioner in Ava, Missouri. Qualified in 2006, 20 years ago. Practices with Douglas County Public Health Services Group, Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2007
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

504 NW 10th Ave
Ava, MO 65608
Phone: (417) 683-4831
Fax: (417) 683-1602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 154500 (MO)

Record details

NPI number1265627970
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESMarch 6, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Douglas County Public Health Services Group, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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