Individual provider Active NPI

Molli Aguillard, APRN

  • Women's Health Nurse Practitioner
  • Eunice, LA
National Provider Identifier
1205454899
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
214148 Issued in LA
Practice address
3448 Highway 190
Eunice, LA 70535-5100
Phone
(337) 546-6237
NPI assigned
Jul 9, 2020
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 214148 LA Primary

Addresses

Primary practice location

3448 Highway 190
Eunice, LA 70535-5100

Mailing address

22558 Highway 26
Jennings, LA 70546-8565
Phone (337) 789-5966

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
I20200826001137 LA Practitioner - Nurse Practitioner 1951728633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heinen Obstetrics and Gynecology LLCGroup PAC ID 2769406883, 3 clinicians

Practice addresses (Care Compare)

3448 Hwy 190
Eunice, LA 70535-5100
Phone (337) 546-6237

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heinen Obstetrics and Gynecology LLC CurrentSince Aug 18, 2020 Accepting new patients

Locations

3448 Highway 190
Eunice, LA 70535
Phone (337) 546-6237

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBDBA/Endpoint/EHBDBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1205454899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22558 HIGHWAY 26",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468565",
            "telephone_number": "337-789-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 HIGHWAY 190",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355100",
            "telephone_number": "337-546-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILLARD",
        "first_name": "MOLLI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "214148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.