Individual provider Active NPI

Nicole Denise Mollman

  • Cardiovascular Specialist/Technologist
  • Rapid City, SD
National Provider Identifier
1427367176
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Practice address
215 Anamaria Dr Ste 133
Rapid City, SD 57701-7376
Phone
(605) 721-4800
Fax
(605) 721-4836
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X Primary

Addresses

Primary practice location

215 Anamaria Dr Ste 133
Rapid City, SD 57701-7376

Mailing address

PO Box 317
Black Hawk, SD 57718-0317
Phone (605) 721-4800

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Ultrasound Specialist/Technologist Cardiovascular Current Accepting new patients

Locations

215 Anamaria Dr
Ste 133
Rapid City, SD 57701
Phone (605) 721-4800

Organizations & group practices 1

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1427367176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "BLACK HAWK",
            "state": "SD",
            "postal_code": "577180317",
            "telephone_number": "605-721-4800",
            "fax_number": "605-721-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ANAMARIA DR STE 133",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017376",
            "telephone_number": "605-721-4800",
            "fax_number": "605-721-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLMAN",
        "first_name": "NICOLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.