Eileen Marie Molloy, M.S., R.D.N. C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI344 Issued in ME

Practice address

6 Glen Cove Dr
Pen Bay Medical Center
Rockport, ME 04856-4240

Phone

(207) 596-8537

Fax

(207) 921-3990

NPI assigned

Dec 14, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1033448469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LIMEROCK ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048432117",
            "telephone_number": "207-236-0678",
            "fax_number": "207-921-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GLEN COVE DR",
            "address_2": "PEN BAY MEDICAL CENTER",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564240",
            "telephone_number": "207-596-8537",
            "fax_number": "207-921-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D.N. C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie D Miller, LCPC-C
• Trevor Mills, PT
• Joseph J Minissale Jr., D.O.
• Sarah Minnix
• Thomas Michael Mitchell, M.D.
• Erin Leigh Monberg, CNM
• Michelle Suzanne Morgan, ANP-BC
• Angelica G Mushenko, PA
• Ashley E Mychak, DPM
• Jennifer O Mytar, DO

• Registered Dietitian in Rockport, ME
• Providers in Rockport, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.