Individual provider Active NPI

Jason Michael Alan Molander, LPN

  • Licensed Practical Nurse
  • Tucson, AZ
National Provider Identifier
1255775532
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP048721 Issued in AZ
Practice address
3216 W Liberty Tree LN
Tucson, AZ 85741-1755
Phone
(520) 307-8157
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP048721 AZ Primary

Addresses

Primary practice location

3216 W Liberty Tree LN
Tucson, AZ 85741-1755

Mailing address

3216 W Liberty Tree LN
Tucson, AZ 85741-1755
Phone (520) 307-8157

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

State licenses

LicenseStateTypeSpecialty
LP048721AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1255775532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 W LIBERTY TREE LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411755",
            "telephone_number": "520-307-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 W LIBERTY TREE LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411755",
            "telephone_number": "520-307-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLANDER",
        "first_name": "JASON",
        "middle_name": "MICHAEL ALAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP048721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.