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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE DOMANICO
NPI 1972414142
Physician Assistant in Norfolk, VA

Active since September 15, 2026
830 KEMPSVILLE RD, NORFOLK, VA 23502(757) 261-6000 Get Directions Write a Review

NPPES record added: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nicole Domanico NPPES

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

NICOLE DOMANICO (NPI 1972414142) is an individual physician assistant in Norfolk, Virginia and active in the NPI registry since September 2026. She maintains 6 additional practice locations.

NPPES Registry Identity

NPI1972414142
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DOMANICO
Location Address830 KEMPSVILLE RDNorfolk, VA 23502-3920
Mailing Address6379 Center DrNorfolk, VA 23502-4102
Phone(757) 261-6000
Sole ProprietorNo
Enumeration DateSeptember 15, 2026
NPPES CertifiedSeptember 15, 2026
✔ NPI 1972414142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
830 KEMPSVILLE RD, Norfolk, VA 23502
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Secondary Practice Locations 6

Location 1800 Independence BlvdVirginia Beach, VA 23455-6005 · Phone (757) 363-6100
Location 2600 Gresham DrNorfolk, VA 23507-1904 · Phone (757) 388-3000
Location 31060 First Colonial RdVirginia Beach, VA 23454-3002 · Phone (757) 395-8000
Location 42025 Glenn Mitchell DrVirginia Beach, VA 23456-0178 · Phone (757) 507-1000
Location 53920A Bridge RdSuffolk, VA 23435-1117 · Phone (757) 467-5967
Location 62800 Godwin BlvdSuffolk, VA 23434-8038 · Phone (757) 934-4000

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.

ARUNAVA PAUL MD
Internal Medicine
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 967-8622
DR. PEROUNSACK X MOON DO
Internal Medicine
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 967-8622
SAPPHIRA BROWN CSA, CSFA, LSA
Specialist/Technologist, Other (Surgical Assistant)
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 261-1110
NICHOLAS LANCE DEGLOPPER PA-C
Physician Assistant
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 261-6000
MS. ANGELA MICHELE FOUNTAIN NP-C
Nurse Practitioner
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 261-6700
VIDUR SUSHIL MARWAHA
Internal Medicine
830 KEMPSVILLE RD
NORFOLK, VA 23502
Norfolk City (757) 967-8622
DR. DAVID P BLAIS MD
Internal Medicine
830 KEMPSVILLE RD, 1ST FL
NORFOLK, VA 23502
Norfolk City (757) 261-5283
ANDREW FUHRMAN NP-C
Nurse Practitioner (Family)
830 KEMPSVILLE RD, SENTARA MEDICAL GROUP
NORFOLK, VA 23502
Norfolk City (757) 261-5283

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 Domanico's NPI number?

The NPI number for Nicole Domanico is 1972414142. It was assigned to this individual provider in the NPPES registry on September 15, 2026.

Where is Nicole Domanico located?

Nicole Domanico practices at 830 Kempsville Rd, Norfolk, VA 23502. The listed phone number is (757) 261-6000.

What is Nicole Domanico's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Domanico was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.