Active NPI
Molly Bloodgood, CRNA
- Certified Registered Nurse Anesthetist
- Scottsbluff, NE
National Provider Identifier
1538080502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 102019
- Practice address
- 4021 Avenue B
Scottsbluff, NE 69361-4602 - Phone
- (308) 635-3711
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 102019 | NE | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 13534253-8901 | UT |
Addresses
Primary practice location
4021 Avenue B
Scottsbluff, NE 69361-4602
Mailing address
1963 S 1130 W
Woods Cross, UT 84087-2320
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": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1538080502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 S 1130 W",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614602",
"telephone_number": "308-635-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOODGOOD",
"first_name": "MOLLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "102019",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "13534253-8901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.