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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. NICOLE ANN DOMINO R.N.
NPI 1548465180
Registered Nurse in Lake George, NY

Active since June 15, 2007
22 MICHELLI RD, LAKE GEORGE, NY 12845(518) 538-9043 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Nicole Ann Domino R.n. NPPES

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

MRS. NICOLE ANN DOMINO R.N. (NPI 1548465180) is an individual registered nurse in Lake George, New York, licensed in New York (455904-1) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1548465180
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. NICOLE ANN DOMINOCredential: R.N.
Location Address22 MICHELLI RDLake George, NY 12845-5806
Mailing Address22 Michelli RdLake George, NY 12845-5806 · (518) 538-9043
Phone(518) 538-9043
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 3, 2026
NPPES CertifiedOctober 3, 2026
✔ NPI 1548465180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NY · 455904-1
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
22 MICHELLI RD, Lake George, NY 12845
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Other Identifiers 1

Medicaid01884739NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Domino's NPI number?

The NPI number for Nicole Domino is 1548465180. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Nicole Domino located?

Nicole Domino practices at 22 Michelli Rd, Lake George, NY 12845. The listed phone number is (518) 538-9043.

What is Nicole Domino's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Domino was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.