Individual provider Active NPI

Holly Soignier Mollere, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1235689654
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
226957 Issued in LA
Practice address
4933 Wabash St
Metairie, LA 70001-1031
Phone
(504) 780-2766
Fax
(504) 780-9699
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 148635 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226957 LA Primary

Addresses

Primary practice location

4933 Wabash St
Metairie, LA 70001-1031

Mailing address

1356 Homestead Ave
Metairie, LA 70005-1149
Phone (504) 818-6321

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
I20221031001638 LA Practitioner - Nurse Practitioner 9335516608 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148635LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Clinic and Foundation LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

4421 Conlin St
Ste 101
Metairie, LA 70006
Phone (504) 455-2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1235689654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 HOMESTEAD AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051149",
            "telephone_number": "504-818-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 WABASH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011031",
            "telephone_number": "504-780-2766",
            "fax_number": "504-780-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLERE",
        "first_name": "HOLLY",
        "middle_name": "SOIGNIER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "148635",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "226957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.