Mollie Simonson

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

MED-EMT-LIC-51614 Issued in MT

Practice address

Gonzaga University MSC 3838
502 E Boone Ave.
Spokane, WA 99258-2500

Phone

(406) 438-2726

NPI assigned

Oct 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1477004653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HIGHWAY 5 E",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592549618",
            "telephone_number": "406-438-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GONZAGA UNIVERSITY MSC 3838",
            "address_2": "502 E BOONE AVE.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992582500",
            "telephone_number": "406-438-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "MOLLIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MT",
            "license": "MED-EMT-LIC-51614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Simon, PA
• Jacob Daniel Simon
• Joel Simon, LMHCA, CDP, MHP
• Cary B Simonds, D.D.S.
• Rachel Simons
• Stephanie M. Simonson, MD
• Sherri Lynn Simpkins
• Simplicity Direct Care, PLLC
• David Scott Simpson, M.D., PH.D.
• Jeff Simpson, RPH

• Basic Emergency Medical Technician in Spokane, WA
• Providers in Spokane, WA by specialty
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.