DR. DOMINIKA GRODZICKA HEUSINKVELD MD
NPI 1861483471
Family Medicine in Tuba City, AZ

Q: What is Dominika Heusinkveld's NPI number?

The NPI number for Dominika Heusinkveld is 1861483471. It was assigned to this individual provider in the NPPES registry on November 2, 2005. The provider is also known as Mrs. Dominika Anna Grodzicka-Trudgett.

Q: What is Dominika Heusinkveld's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 02, 2005

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2458(928) 283-2677 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dominika Grodzicka Heusinkveld Md NPPES

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

DR. DOMINIKA GRODZICKA HEUSINKVELD MD (NPI 1861483471) is an individual family medicine provider in Tuba City, Arizona, licensed in Arizona (43843) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1861483471

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOMINIKA GRODZICKA HEUSINKVELDCredential: MD

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2458 · Fax (928) 283-2677

Phone(928) 283-2458

Fax(928) 283-2677

Sole ProprietorNo

Enumeration DateNovember 2, 2005

Last NPPES UpdateFebruary 17, 2014

✔ NPI 1861483471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 43843

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Names 1

Former Name (1)Mrs. Dominika Anna Grodzicka-trudgett

Other Identifiers 2

Medicaid05686202NM

Medicaid09529730CO

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.

JIMMIE L TAYLOR RN

Registered Nurse (Ambulatory Care)