Molly Lynn Norman

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

12874 Hillside Rd
Lake Park, MN 56554-9190

Phone

(218) 841-8586

NPI assigned

Dec 8, 2025

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1255294070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12874 HILLSIDE RD",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565549190",
            "telephone_number": "218-841-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12874 HILLSIDE RD",
            "city": "LAKE PARK",
            "state": "MN",
            "postal_code": "565549190",
            "telephone_number": "218-841-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MOLLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "H000070928000",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Lake Park)
• Ind School Dist 2889
• Natasha Lynn Isaman, APRN
• Seipati Valerie Kgomo
• Natasha L Isaman MSN, Pmhnp-BC, Aprn (Illuminating Life Behavioral Health)
• Andraya Therese Parenteau
• St. Mary's Regional Health Center (Essentia Health St. Mary's - Lake Park Clinic)
• Sunnyside Nursing Home (Sunnyside Care Center)
• Debra K Thomas, RN

• Peer Specialist in Lake Park, MN
• Providers in Lake Park, MN by specialty
• Peer Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.