Individual provider Active NPI

Molly Kane Kane Elek

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1508464132
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10200307 Issued in OH
Practice address
17801 Susan Ave
Cleveland, OH 44111-4148
Phone
(216) 509-6358
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10200307 OH Primary

Addresses

Primary practice location

17801 Susan Ave
Cleveland, OH 44111-4148

Mailing address

17801 Susan Ave
Cleveland, OH 44111-4148
Phone (216) 509-6358

Other names 1

  • Molly Elek Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cleveland Other

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
F10200307OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1508464132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 SUSAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114148",
            "telephone_number": "216-509-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 SUSAN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114148",
            "telephone_number": "216-509-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE ELEK",
        "first_name": "MOLLY",
        "middle_name": "KANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F10200307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cleveland",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "personal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal",
            "address_1": "17801 Susan Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441114148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "ELEK",
            "credential": "MOLLY KANE RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.