Individual provider Active NPI

Molly Shaker Badr, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1407392277
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356462 Issued in OH
Practice address
4613 Marburg Ave
Cincinnati, OH 45209-5005
Phone
(615) 425-4200
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 356462 OH Primary

Addresses

Primary practice location

4613 Marburg Ave
Cincinnati, OH 45209-5005

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170210001661 KY Practitioner - Nurse Practitioner 8325321698 Reassigns benefits to 1 organization
I20170214002846 OH Practitioner - Nurse Practitioner 8325321698 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
356462OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 27, 2017 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jan 27, 2017 Accepting new patients

Locations

1700 Declaration Dr
Independence, KY 41051
Phone (859) 363-9020

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

3760 Paxton Ave
Cincinnati, OH 45209
Phone (513) 488-8077

4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1407392277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 MARBURG AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452095005",
            "telephone_number": "615-425-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKER BADR",
        "first_name": "MOLLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "356462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.