Active NPI
Molly Maffei
- Athletic Trainer
- Lock Haven, PA
National Provider Identifier
1447646195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002197
- Practice address
- 401 N Fairview St
140 Willis Health Professional Building
Lock Haven, PA 17745-2342 - Phone
- (804) 852-4573
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126002197 | VA | Primary |
Addresses
Primary practice location
401 N Fairview St
140 Willis Health Professional Building
Lock Haven, PA 17745-2342
Mailing address
140 Willis Health Building
Lock Haven University
Lock Haven, PA 17745
Phone (804) 852-4573
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 |
|---|---|---|---|
| 0126002197 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1447646195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WILLIS HEALTH BUILDING",
"address_2": "LOCK HAVEN UNIVERSITY",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "17745",
"telephone_number": "804-852-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N FAIRVIEW ST",
"address_2": "140 WILLIS HEALTH PROFESSIONAL BUILDING",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452342",
"telephone_number": "804-852-4573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFFEI",
"first_name": "MOLLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.