NPIMap

Individual provider Active NPI

Deborah Ashton Molloy, MS,APRN

  • Women's Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1487728754
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
000024 Issued in CT
Practice address
1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254
Phone
(203) 272-1990
Fax
(203) 271-0668
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 000024 CT Primary

Addresses

Primary practice location

1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254

Mailing address

1781 Highland Ave
Suite 102
Cheshire, CT 06410-1254
Phone (203) 272-1990

Other identifiers 3

IdentifierTypeStateIssuer
000024OtherCTCONNECTICARE
2V2619OtherCTHEALTHNET
400000024CT01OtherCTBLUE SHIELD

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000024CTMDAddiction (Substance Use Disorder) Counselor
24CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Group, PC Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
New Life Plus, PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1487728754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVE",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-272-1990",
            "fax_number": "203-271-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 HIGHLAND AVE",
            "address_2": "SUITE 102",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101254",
            "telephone_number": "203-272-1990",
            "fax_number": "203-271-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "DEBORAH",
        "middle_name": "ASHTON",
        "credential": "MS,APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "000024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "000024",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2619",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "400000024CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.