Molly Ann Fenneman, MSN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

71000271A Issued in IN

Practice address

200 S Meridian St
Indianapolis, IN 46225-1055

Phone

(317) 637-4343

Fax

(317) 637-4189

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225174048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 WASHINGTON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203028",
            "telephone_number": "317-252-4831",
            "fax_number": "317-252-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462251055",
            "telephone_number": "317-637-4343",
            "fax_number": "317-637-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNEMAN",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IN",
            "license": "71000271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T Feng, M.D.
• Yan Feng
• Brian Fennell, MD
• Elly Jo Fennell, RN, CNP
• Brooke A Fenneman, RD
• Alanna Margaret Fennimore
• Christopher Ferari, MD
• Eli C Ferenc Lopes
• Rachael Ann Ference, LCSW
• Lauren Ferendo, OTR

• Ambulatory Care Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Care Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.