Individual provider Active NPI

Jennifer Molina

  • Intellectual Disabilities Intermediate Care Facility
  • Grand Island, NE
National Provider Identifier
1487545703
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
315P00000X Issued in NE
Practice address
2208 N Webb Rd Unit 4
Grand Island, NE 68803-1756
Phone
(308) 381-1690
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 315P00000X NE Primary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X 315P00000X NE

Addresses

Primary practice location

2208 N Webb Rd Unit 4
Grand Island, NE 68803-1756

Mailing address

518 E Capital Ave TRLR 14
Grand Island, NE 68801-2472
Phone (308) 258-1763

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

LicenseStateTypeSpecialty
315P00000XNEMDIntellectual Disabilities Intermediate Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Intermediate Care Facility, Intellectual Disabilities PastSince Jul 22, 2025 Accepting new patients

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1487545703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E CAPITAL AVE TRLR 14",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688012472",
            "telephone_number": "308-258-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N WEBB RD UNIT 4",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031756",
            "telephone_number": "308-381-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NE",
            "license": "315P00000X",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "NE",
            "license": "315P00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.