Brenda Joyce Molina, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Practice address

16480 William Foss Rd
La Pine, OR 97739-9486

Phone

(541) 536-8012

Fax

(541) 536-9873

NPI assigned

Nov 15, 2005

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• The Family Health Clinic of Lapine

  • Family Nurse Practitioner
  • La Pine, OR
  • NPI 1013030444
  Authorized official Same address or phone

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1215919436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-8012",
            "fax_number": "541-536-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16480 WILLIAM FOSS RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399486",
            "telephone_number": "541-536-8012",
            "fax_number": "541-536-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270016",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara McVay
• Abigail Marie Messer, LPC
• Angela Messerschmidt
• Sarah Rebecca Miller
• Amy Millikin
• Sierra McKenzie Montgomery, PT
• Mountain Movement Physical Therapy
• Amanda Murphy, RPH
• Gerald Nash, RPT
• Jodi Janell Nelson, MSN, WHNP-BC

• Nurse Practitioner in La Pine, OR
• Providers in La Pine, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.