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

Olivia Domingue, MD

Individual provider Pediatrics Physician · NPI 1063209294

Olivia Domingue, MD is a Pediatrics Physician in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.

Licensed in
RI
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence MD12345 (RI)

Record details

NPI number1063209294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address593 Eddy St, Providence, RI 02903-4923

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