Individual provider Active NPI

Molly McKay Ivy

  • Gerontology Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1043986532
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
221578 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(737) 226-6700
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 221578 LA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

3901A Spicewood Springs Rd Ste 201
Austin, TX 78759-8728
Phone (737) 226-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210828000340 LA Practitioner - Nurse Practitioner 3870998891 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
Rapides Regional Physician Group, Specialty Care, LLCGroup PAC ID 3375646466, 41 clinicians

Practice addresses (Care Compare)

201 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3501

Hospital & facility affiliations

  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221578LAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Regional Physician Group Specialty Care, LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

201 4th St
Ste 5
Alexandria, LA 71301
Phone (318) 769-3501

201 4th St
Ste 5B
Alexandria, LA 71301
Phone (318) 767-0605

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: molly.ivy@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1043986532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901A SPICEWOOD SPRINGS RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598728",
            "telephone_number": "737-226-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "737-226-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "MOLLY",
        "middle_name": "MCKAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "221578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.