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

Mrs. Shawna L. W. Dominguez, CNP

Individual provider Family Nurse Practitioner · NPI 1568015873

Mrs. Shawna L. W. Dominguez, CNP is a Nurse Practitioner in Apache Junction, Arizona. Qualified in 2021, 5 years ago. Practices with Oak Street Health Physicians Group of Arizona PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
5
Licensed in
AZ, NM
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

183 W Apache Trl Ste B109
Apache Junction, AZ 85120-3425
Phone: (480) 618-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 308088 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 56979 (NM)

Record details

NPI number1568015873
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Oak Street Health Physicians Group Of Arizona Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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