Active NPI
Molly Florence Fowler
- Pediatric Registered Nurse
- Atascadero, CA
National Provider Identifier
1417828252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 843510
- Practice address
- 8674 Santa Rosa Rd
Atascadero, CA 93422-5428 - Phone
- (805) 610-7173
- NPI assigned
- Sep 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 843510 | CA | Primary |
Addresses
Primary practice location
8674 Santa Rosa Rd
Atascadero, CA 93422-5428
Mailing address
8674 Santa Rosa Rd
Atascadero, CA 93422-5428
Phone (805) 610-7173
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
| License | State | Type | Specialty |
|---|---|---|---|
| 843510 | CA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1417828252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8674 SANTA ROSA RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225428",
"telephone_number": "805-610-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8674 SANTA ROSA RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225428",
"telephone_number": "805-610-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "MOLLY",
"middle_name": "FLORENCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "843510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.