NPIMap

Organization Active NPI

Millennium Physicians Associaton, PLLC

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1114335775
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125859 Issued in TX
Legal business name
MILLENNIUM PHYSICIANS ASSOCIATON, PLLC
Practice address
22710 Professional Dr
Suite 203
Kingwood, TX 77339-6008
Phone
(281) 312-8530
Fax
(281) 312-8532
NPI assigned
Jul 28, 2014
Last updated
Jul 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Melody A Molloy, R.N.
Title
C.O.O.
Phone
(281) 358-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP125859 TX Primary

Addresses

Primary practice location

22710 Professional Dr
Suite 203
Kingwood, TX 77339-6008

Mailing address

22710 Professional Dr
Suite 101
Kingwood, TX 77339-6008
Phone (281) 312-8560

National Provider Directory

National Provider Directory
Tax ID family
Cabarrus Memorial Hospi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22710 Professional Dr
Ste 101
Kingwood, TX 77339

22710 Professional Dr
Ste 203
Kingwood, TX 77339
Phone (281) 312-8530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1114335775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "SUITE 101",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-312-8560",
            "fax_number": "281-312-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "SUITE 203",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-312-8530",
            "fax_number": "281-312-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICIANS ASSOCIATON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "MOLLOY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "281-358-2850",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.