Active NPI
Tierra Molden
- Community Health Worker
- Las Vegas, NV
National Provider Identifier
1477369700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CHW5979
- Practice address
- 3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964 - Phone
- (702) 371-7970
- NPI assigned
- Dec 11, 2024
- Last updated
- Jun 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Community Health Worker | 172V00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Community Health Worker | 172V00000X | CHW5979 | NV | Primary |
Addresses
Primary practice location
3016 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1964
Mailing address
10679 Harvest Green Way
Las Vegas, NV 89135-1246
Phone (702) 569-4661
Other practice location 1
10679 Harvest Green Way
Las Vegas, NV 89135-1246
Phone (702) 569-4661
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 |
|---|---|---|---|
| CHW5979 | NV | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749945600000",
"number": "1477369700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10679 HARVEST GREEN WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351246",
"telephone_number": "702-569-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021964",
"telephone_number": "702-371-7970"
}
],
"practiceLocations": [
{
"address_1": "10679 Harvest Green Way",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891351246",
"country_code": "US",
"telephone_number": "702-569-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLDEN",
"first_name": "TIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2025-06-15",
"certification_date": "2025-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "CHW5979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.