SAMIRA DOMINGO RN, CLC
NPI 1922963917
Registered Nurse - Lactation Consultant in Ewa Beach, HI
Active since December 22, 2025
About Samira Domingo Rn, Clc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMIRA DOMINGO RN, CLC (NPI 1922963917) is an individual lactation consultant provider in Ewa Beach, Hawaii, licensed in California (846436) and active in the NPI registry since December 2025.
NPPES Registry Identity
NPI1922963917
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameSAMIRA DOMINGOCredential: RN, CLC
Location Address91-1101 KAIMALIE ST APT 2T2Ewa Beach, HI 96706-5052
Mailing Address91-1101 Kaimalie St Apt 2t2Ewa Beach, HI 96706-5052
Phone(916) 743-1005
Sole ProprietorYes
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1922963917 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in CA · 846436
91-1101 KAIMALIE ST APT 2T2, Ewa Beach, HI 96706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922963917, enumerated as an "individual" on December 22, 2025.
The provider is located at 91-1101 KAIMALIE ST APT 2T2 EWA BEACH, HI 96706 and the phone number is (916) 743-1005.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.
