Individual provider Active NPI

Molly R Sonner, RN,MSN,CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1598373003
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2331126 Issued in MA
Practice address
170 Pleasant St Ste 100
Fall River, MA 02721-3015
Phone
(774) 294-5722
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2331126 MA Primary

Addresses

Primary practice location

170 Pleasant St Ste 100
Fall River, MA 02721-3015

Mailing address

170 Pleasant St Ste 100
Fall River, MA 02721-3015
Phone (774) 294-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@baycoastbehavioral.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717000920 MA Practitioner - Nurse Practitioner 5092175539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2331126MAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1598373003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST STE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST STE 100",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNER",
        "first_name": "MOLLY",
        "middle_name": "R",
        "credential": "RN,MSN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2331126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@baycoastbehavioral.com",
            "affiliation": "N",
            "address_1": "170 Pleasant St",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027213015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.