Molly Lynn McClelland, PHD, RN, ACNS-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704168241 Issued in MI

Practice address

555 W 14 Mile Rd Ste 100
Clawson, MI 48017-3100

Phone

(248) 655-1400

Fax

(248) 655-2646

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: molly.mcclelland.1@28573.direct.athenahealth.com

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.

• North Woodward Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Clawson, MI
  • NPI 1609966696
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1558835603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD STE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400",
            "fax_number": "248-655-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 14 MILE RD STE 100",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480173100",
            "telephone_number": "248-655-1400",
            "fax_number": "248-655-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "MOLLY",
        "middle_name": "LYNN",
        "credential": "PHD, RN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704168241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Michael Marks
• Mary'S Children Family Center
• Joseph M Masternick, DO
• Mathews Pharmacy Inc
• Kelly Maurer
• Steven C McClelland, MD
• April McLain, RDH
• Robert Meldrum II, MASSAGE THERAPIST
• Mackenzie Louise Meredith
• Tefta Metaj

• Adult Health Nurse Practitioner in Clawson, MI
• Providers in Clawson, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.