Active NPI
Molly Jagla
- Nurse Practitioner
- Oregon, WI
National Provider Identifier
1306255302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5883
- Practice address
- 477 Bergamont Blvd
Oregon, WI 53575-3843 - Phone
- (262) 339-7912
- NPI assigned
- Aug 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5883 | WI | Primary |
Addresses
Primary practice location
477 Bergamont Blvd
Oregon, WI 53575-3843
Mailing address
477 Bergamont Blvd
Oregon, WI 53575-3843
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzahour806398@direct.uwhealth.org |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- mzahour806398@direct.uwhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1306255302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 BERGAMONT BLVD",
"city": "OREGON",
"state": "WI",
"postal_code": "535753843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 BERGAMONT BLVD",
"city": "OREGON",
"state": "WI",
"postal_code": "535753843",
"telephone_number": "262-339-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGLA",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "5883",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzahour806398@direct.uwhealth.org",
"affiliation": "N",
"address_1": "600 Highland Ave",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537920001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oregon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.