Active NPI
Fatima Molas
- Neonatal/Pediatric Registered Respiratory Therapist
- Minneapolis, MN
National Provider Identifier
1528892221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal/Pediatric Registered Respiratory Therapist
- License
- 3493
- Practice address
- 229 Irving Ave N
Minneapolis, MN 55405-5501 - Phone
- (612) 703-9936
- NPI assigned
- Aug 27, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | 3493 | MN | Primary |
Addresses
Primary practice location
229 Irving Ave N
Minneapolis, MN 55405-5501
Mailing address
3814 5TH St NE
Columbia Heights, MN 55421-3702
Phone (612) 703-9936
Other practice location 1
229 irving ave north
mpls, MN 55421
Phone (612) 703-9936
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1528892221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 5TH ST NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554213702",
"telephone_number": "612-703-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 IRVING AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554055501",
"telephone_number": "612-703-9936"
}
],
"practiceLocations": [
{
"address_1": "229 irving ave north",
"address_purpose": "LOCATION",
"city": "mpls",
"state": "MN",
"postal_code": "55421",
"country_code": "US",
"telephone_number": "612-703-9936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLAS",
"first_name": "FATIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "MN",
"license": "3493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.