CHRISTIE D DOMME FNP NPI 1376142422

NPI Information

NPI: 1376142422
Provider Name: CHRISTIE D DOMME, FNP
Classification: Nurse Practitioner - 363LP2300X
Specialization: Primary Care
Entity Type: Individual
PECOS Registration: Yes
Address: 1001 COAL AVE SE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 843-6168

Map and Directions

Get Directions

NPI Details

Christie D Domme, FNP is a primary care nurse practitioner in Albuquerque, NM with 5 years of experience. Christie D Domme, FNP NPI is 1376142422. 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:

1001 COAL AVE SE
ALBUQUERQUE, NM
ZIP 87106-205
Phone: (505) 843-6168
Fax: (505) 792-1978

The NPI 1376142422 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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Advance care planning, first 30 minutes (HCPCS:99497)
Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Annual depression screening, 15 minutes (HCPCS:G0444)
Test for eardrum and muscle function (HCPCS:92550)
Test for hearing various pitches using earphone (HCPCS:92552)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)

The enumeration date for this NPI number is 10/20/2020 and was last updated on 6/13/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	61730	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48725323	MEDICAID	NEW MEXICO

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI