Individual provider Active NPI

Olivia Andrea Domini, DNP

  • Nurse Practitioner
  • Des Moines, WA
National Provider Identifier
1376121491
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61182754 Issued in WA
Practice address
26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247
Phone
(206) 870-3590
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60865805 WA
Family Nurse Practitioner 363LF0000X AP61182754 WA
Nurse Practitioner 363L00000X AP61182754 WA Primary

Addresses

Primary practice location

26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

901 12th Ave
Seattle, WA 98122-4411
Phone (206) 296-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address odomini20111@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210614003143 WA Practitioner - Nurse Practitioner 8921408873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

26401 Pacific Hwy S
Suite 101
Des Moines, WA 98198
Phone (206) 870-3590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Jun 8, 2021 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint CurrentSince Jun 8, 2021 Accepting new patients
Healthpoint Past Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

923 Auburn Way N
Auburn, WA 98002
Phone (253) 351-3900

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

225 S 152nd St
Burien, WA 98148
Phone (206) 870-3623

26401 Pacific Hwy S
Ste 101
Des Moines, WA 98198
Phone (206) 870-3590

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

33914 19th Ave SW
Federal Way, WA 98023
Phone (253) 804-3589

325 W Gowe St
Kent, WA 98032

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

219 State Ave N
Ste 100
Kent, WA 98030
Phone (253) 372-3602

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

2902 NE 12th St
Ste 102
Renton, WA 98056
Phone (425) 882-6000

4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200

12704 76th Ave S
Seattle, WA 98178
Phone (206) 772-2050

830 SW 116th St
Bldg 200E
Seattle, WA 98146
Phone (206) 835-2615

13030 Military Rd S
Ste 200
Tukwila, WA 98168
Phone (206) 439-3289

Interoperability endpoints

  • Direct secure messaging: olivia.domini.p3@direct.hpc.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1376121491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S STE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-870-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981224411",
            "country_code": "US",
            "telephone_number": "206-296-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINI",
        "first_name": "OLIVIA",
        "middle_name": "ANDREA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60865805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61182754",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61182754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "odomini20111@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 101",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

Verify at the official NPI Registry.