Individual provider Active NPI

Molly Ann Sweeney, MS, RDN, LDN, CDE

  • Registered Dietitian
  • Hazle Township, PA
National Provider Identifier
1336606557
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005128 Issued in PA
Practice address
50 Moisey Dr
Hazle Township, PA 18202-9297
Phone
(570) 501-6206
NPI assigned
Feb 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005128 PA Primary

Addresses

Primary practice location

50 Moisey Dr
Hazle Township, PA 18202-9297

Mailing address

50 Moisey Dr
Hazle Township, PA 18202-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328001791 PA Practitioner - Registered Dietitian Or Nutrition Professional 1254671274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Professional Services Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 25, 2019 Accepting new patients

Locations

50 Moisey Dr
Ste 109
Hazle Township, PA 18202
Phone (570) 501-6460

50 Moisey Dr
Hazle Township, PA 18202
Phone (570) 501-4000

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

Organizations & group practices 2

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": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1336606557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOISEY DR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182029297",
            "telephone_number": "570-501-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "MS, RDN, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.