Active NPI
Molly Christopher
- Community Health Worker
- Bend, OR
National Provider Identifier
1093467011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 105993
- Practice address
- 61250 SE Coombs PL
Bend, OR 97702-3704 - Phone
- (541) 706-5935
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 105993 | OR | Primary |
Addresses
Primary practice location
61250 SE Coombs PL
Bend, OR 97702-3704
Mailing address
61250 SE Coombs PL
Bend, OR 97702-3704
Phone (541) 706-5935
Other practice location 1
51781 Huntington Rd
LA Pine, OR 97739-1118
Phone (541) 907-7040
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmchristopher@stcharleshealthcare.org | St. Charles Health System |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105993 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1093467011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61250 SE COOMBS PL",
"city": "BEND",
"state": "OR",
"postal_code": "977023704",
"telephone_number": "541-706-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61250 SE COOMBS PL",
"city": "BEND",
"state": "OR",
"postal_code": "977023704",
"telephone_number": "541-706-5935"
}
],
"practiceLocations": [
{
"address_1": "51781 Huntington Rd",
"address_purpose": "LOCATION",
"city": "LA Pine",
"state": "OR",
"postal_code": "977391118",
"country_code": "US",
"telephone_number": "541-907-7040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTOPHER",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "105993",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmchristopher@stcharleshealthcare.org",
"affiliation": "Y",
"affiliationName": "St. Charles Health System",
"address_1": "61250 SE Coombs Pl",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977023704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.