TRISTIN KING DOMINGUEZ
NPI 1225980568
Respite Care - Respite Care, Mental Illness, Child in Lewiston, ID

Active since February 10, 2026
531 BRYDEN AVE, LEWISTON, ID 83501(208) 798-1646(208) 798-5568 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tristin King Dominguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRISTIN KING DOMINGUEZ (NPI 1225980568) is an individual respite care, mental illness, child provider in Lewiston, Idaho and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1225980568
Entity TypeIndividualMale
Primary Taxonomy385HR2055X
Provider Legal NameTRISTIN KING DOMINGUEZ
Location Address531 BRYDEN AVELewiston, ID 83501-4438
Mailing Address531 Bryden AveLewiston, ID 83501-4438 · (208) 798-1646 · Fax (208) 798-5568
Fax(208) 798-5568
Sole ProprietorYes
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1225980568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

531 BRYDEN AVE, Lewiston, ID 83501

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
531 BRYDEN AVE
LEWISTON, ID 83501
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Counselor (Professional)
531 BRYDEN AVE
LEWISTON, ID 83501
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Counselor (Mental Health)
531 BRYDEN AVE
LEWISTON, ID 83501
Counselor (Professional)
531 BRYDEN AVE
LEWISTON, ID 83501
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225980568, enumerated as an "individual" on February 10, 2026.

The provider is located at 531 BRYDEN AVE LEWISTON, ID 83501 and the phone number is (208) 798-1646.

Respite Care with taxonomy code 385HR2055X and a focus in Respite Care, Mental Illness, Child.