Active NPI
Mollie Elizabeth Holden, RDLD
- Registered Dietitian
- Gallipolis, OH
National Provider Identifier
1376064535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 8224
- Practice address
- 100 Jackson Pike
Gallipolis, OH 45631-1560 - Phone
- (740) 446-5268
- NPI assigned
- Jun 28, 2017
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 8224 | OH | Primary |
Addresses
Primary practice location
100 Jackson Pike
Gallipolis, OH 45631-1560
Mailing address
86 Carman Dr Apt 506
Gallipolis, OH 45631-8793
Phone (740) 446-5268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236915 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8224 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1376064535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 CARMAN DR APT 506",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318793",
"telephone_number": "740-446-5268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "MOLLIE",
"middle_name": "ELIZABETH",
"credential": "RDLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "8224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236915",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.