Active NPI
Molly Kennedy Traynor
- Occupational Therapist
- Dickinson, ND
National Provider Identifier
1205967015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 650
- Practice address
- 444 4TH St W
Dickinson, ND 58601-4951 - Phone
- (701) 456-0002
- Fax
- (701) 456-0035
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 650 | ND | Primary |
Addresses
Primary practice location
444 4TH St W
Dickinson, ND 58601-4951
Mailing address
7960 50TH St SW
Richardton, ND 58652-9401
Phone (701) 974-4218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54561 | Medicaid | ND |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson Public Schools | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Dickinson, ND
- NPI 1952470700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205967015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7960 50TH ST SW",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586529401",
"telephone_number": "701-974-4218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 4TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014951",
"telephone_number": "701-456-0002",
"fax_number": "701-456-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNOR",
"first_name": "MOLLY",
"middle_name": "KENNEDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54561",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.