Molly Frische, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001182A Issued in IN

Practice address

4700 W 10TH St
Mail Stop M-17
Indianapolis, IN 46222-3277

Phone

(317) 242-5014

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Miss Molly Crone Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104940964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W. DEER RUN",
            "city": "TRAFALGAR",
            "state": "IN",
            "postal_code": "46181",
            "telephone_number": "317-878-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 10TH ST",
            "address_2": "MAIL STOP M-17",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223277",
            "telephone_number": "317-242-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCHE",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001182A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "CRONE",
            "prefix": "MISS",
            "credential": "ATC,LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tayler Nicole Frigge, PA-C
• Ian Colvin Frink, DO
• Ryan Frisbie, MD, MPH
• Carol Yvonne Frisby, OT
• Kristin Cherie Frisby, DO
• Alexandra Frischmann, DPT
• Cynthia Jay Frischmann, O.D.
• Lyndsey Frissell, MSW, LCSW
• Susan Frissell, PH.D., LCPC
• Frist Choice Home Care LLP

• All providers in Indianapolis, IN
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.