MEDICARE: MS. DOMENIQUE EDWARDS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN60786069	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60793275	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1821751702	OTHER		TYPE 2 NPI

General Provider Information

NPI Number	:	1336675529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOMENIQUE EDWARDS ARNP

Provider Business Mailing Address
First Line	:	2611 SW NEVADA ST UNIT B
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2535
Country	:	US
Telephone Number	:	206-920-5949
Fax Number	:

Provider Business Practice Location Address
First Line	:	5602 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1515
Country	:	US
Telephone Number	:	206-538-2255
Fax Number	:	206-538-2266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2017
Last Update Date	:	03/22/2023

Similar Medicare Providers

1922688126 — MS. LEAH MAE SMITH LMFTA
Practice Location Address:

5602 CALIFORNIA AVE SW
SEATTLE, WA
98136-1515

Practice Phone: 916-276-1850
Practice Fax:

1821751702 — DOMENIQUE EDWARDS, PLLC
Practice Location Address:

5602 CALIFORNIA AVE SW
SEATTLE, WA
98136-1515

Practice Phone: 206-538-2255
Practice Fax: 206-538-2266

1558049965 — SHREYA RANGWANI LMFTA
Practice Location Address:

5602 CALIFORNIA AVE SW
SEATTLE, WA
98136-1515

Practice Phone: 206-858-8169
Practice Fax:

1972367597 — ELIZABETH PISECZNY MA, LMHCA, NCC
Practice Location Address:

5602 CALIFORNIA AVE SW
SEATTLE, WA
98136-1515

Practice Phone: 206-858-8169
Practice Fax:

1649485632 — SCOTT L. FERRY L.AC.
Practice Location Address:

1515 1ST AVE
SEATTLE, WA
98101-1523

Practice Phone: 206-419-7147
Practice Fax:

1972797264 — B. MICHAEL MAX L.AC
Practice Location Address:

1515 FIRST AVE
SEATTLE, WA
98101

Practice Phone: 206-903-1888
Practice Fax:

Directions to “ MS. DOMENIQUE EDWARDS ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.