| Ashley Dometrius, CPNP-PC | |
|
10507 Quaker Ave Unit 105, Lubbock, TX 79424-8441 | |
| (806) 450-9775 | |
| (806) 696-6431 |
| Full Name | Ashley Dometrius |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 10507 Quaker Ave Unit 105, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730540097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP130554 (Texas) | Primary |
| Entity Name | Immersiv Health of Texas, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336035872 PECOS PAC ID: 9032604129 Enrollment ID: O20251216002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Dometrius, CPNP-PC 10507 Quaker Ave Unit 105, Lubbock, TX 79424-8441 Ph: (806) 450-9775 | Ashley Dometrius, CPNP-PC 10507 Quaker Ave Unit 105, Lubbock, TX 79424-8441 Ph: (806) 450-9775 |
Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588 |
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388 |
Kevin Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534 |
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861 |
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400 |
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815 |
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880 |