Individual provider Active NPI

Hannah Thompson, FNP-C

  • Family Nurse Practitioner
  • Herriman, UT
National Provider Identifier
1083436760
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13409657-4405 Issued in UT
Practice address
14448 S Temecula CT
Herriman, UT 84096-5624
Phone
(702) 509-0584
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13409657-4405 UT Primary

Addresses

Primary practice location

14448 S Temecula CT
Herriman, UT 84096-5624

Mailing address

14448 S Temecula CT
Herriman, UT 84096-5624
Phone (702) 509-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717004136 OK Practitioner - Nurse Practitioner 3779099726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 NW 31St St
FL 2
Lawton, OK 73505-6100
Phone (580) 357-3671

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13409657-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Healthcare Corporation Current Accepting new patients
Comanche County Healthcare Corporation CurrentSince Apr 28, 2025 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Apr 28, 2025 Accepting new patients
Comanche County Healthcare Past Accepting new patients

Locations

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

110 NW 31st St
Fl 2
Lawton, OK 73505
Phone (580) 248-5255

3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1083436760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14448 S TEMECULA CT",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965624",
            "telephone_number": "702-509-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14448 S TEMECULA CT",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965624",
            "telephone_number": "702-509-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HANNAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13409657-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

Verify at the official NPI Registry.