Mollie Nelson, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX4856 Issued in MD

Practice address

9501 Old Annapolis Rd Ste 205
Ellicott City, MD 21042-6336

Phone

(410) 648-2555

NPI assigned

Mar 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Integrative Health Practices, LLC

  • Family Medicine Physician
  • Ellicott City, MD
  • NPI 1033634530
  NPD

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1003492349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 WATERFOWL TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426336",
            "telephone_number": "410-648-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MOLLIE",
        "credential": "CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@integrativehealthpractices.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Integrative Health Practices, LLC",
            "address_1": "9501 Old Annapolis Rd Ste 205",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210426336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NDVR Pharmacy LLC
• Micaela Anne Neaman
• Neda Kaveh LLC (Cherry Blossom Psychiatry)
• Danielle Nedwetzky, DMD
• Amanda Marie Nelson, PTA
• Bethany Nero, PT
• Neurosurgical Specialty Services, LLC
• New Beginnings Foundation
• New Hope Acupuncture Wellness Center
• New Leaf Counseling Services LLC

• Nutritionist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.