Individual provider Active NPI

Mollana Carson Purdy, AUD

  • Audiologist
  • Maple Grove, MN
National Provider Identifier
1194989020
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8346 Issued in MN
Practice address
9825 Hospital Dr Ste 203
Maple Grove, MN 55369-4772
Phone
(763) 233-5755
NPI assigned
Jul 10, 2008
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8346 MN Primary

Addresses

Primary practice location

9825 Hospital Dr Ste 203
Maple Grove, MN 55369-4772

Mailing address

8301 Golden Valley Rd Ste 200
Golden Valley, MN 55427-4475
Phone (763) 233-5755

Other practice location 1

3366 Oakdale Ave N
Suite 150
Robbinsdale, MN 55422-2948
Phone (763) 233-5755

Other practice location 2

8301 Golden Valley Rd Ste 200
Golden Valley, MN 55427-4475
Phone (763) 233-5755

Other names 1

  • Mollie Dawn Carson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000198 MN Practitioner - Qualified Audiologist 9931259298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakdale Ear, Nose and Throat Clinic, P.a.Group PAC ID 9133209802, 12 clinicians

Practice addresses (Care Compare)

9825 Hospital Dr
Suite 203
Maple Grove, MN 55369-4772
Phone (763) 233-5755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2915CAMDAddiction (Substance Use Disorder) Counselor
8346MNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakdale Ear, Nose & Throat Clinic, P.a. CurrentSince Feb 1, 2017 Accepting new patients
South Bay Hearing & Balance Center Past Accepting new patients

Locations

9825 Hospital Dr
Ste 203
Maple Grove, MN 55369
Phone (763) 233-5750

8301 Golden Valley Rd
Ste 200
Minneapolis, MN 55427
Phone (763) 233-5755

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 150
Robbinsdale, MN 55422
Phone (763) 233-5755

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1194989020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD STE 200",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274475",
            "telephone_number": "763-233-5755",
            "fax_number": "763-233-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 203",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694772",
            "telephone_number": "763-233-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 Oakdale Ave N",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222948",
            "country_code": "US",
            "telephone_number": "763-233-5755",
            "fax_number": "763-233-5782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Golden Valley Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274475",
            "country_code": "US",
            "telephone_number": "763-233-5755",
            "fax_number": "763-233-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "MOLLANA",
        "middle_name": "CARSON",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "CARSON",
            "middle_name": "DAWN",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.