Individual provider Active NPI

Hannah Dompier, ARPRN, AGPCNP, ACCNS

  • Primary Care Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1790580306
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95030230 Issued in CA
Practice address
3669 Columbia St
San Diego, CA 92103-4752
Phone
(907) 854-3604
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95030230 CA Primary

Addresses

Primary practice location

3669 Columbia St
San Diego, CA 92103-4752

Mailing address

3669 Columbia St
San Diego, CA 92103-4752
Phone (907) 854-3604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95030230CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1790580306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3669 COLUMBIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034752",
            "telephone_number": "907-854-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 COLUMBIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034752",
            "telephone_number": "907-854-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMPIER",
        "first_name": "HANNAH",
        "credential": "ARPRN, AGPCNP, ACCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95030230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.