Dominique A Hunter, NNP-BC
Individual provider Active NPI Neonatal Nurse Practitioner · San Antonio, TX
NPI 1164280780 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1164280780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- 1156969 (TX)
- Practice address
- 5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561 - Phone
- (210) 541-8281
- Fax
- (210) 541-9123
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156969 | TX | MD | Neonatal Nurse Practitioner |
| 881599 | TX | MD | Critical Care Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 881599 | TX | |
| Neonatal Nurse Practitioner | 363LN0000X | 1156969 | TX | Yes |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Mailing address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 541-8281
Other practice location 1
5314 Spring Day
San Antonio, TX 78247-1862
Phone (210) 273-9146
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All providers in San Antonio, TX · Neonatal Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.