Active NPI
Molly Jean Hovendick, ATC
- Athletic Trainer
- Fort Lewis, WA
National Provider Identifier
1619480894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1008
- Practice address
- South Division Street
Fort Lewis, WA 98433 - Phone
- (307) 349-0650
- NPI assigned
- Nov 10, 2017
- Last updated
- Dec 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A161600256 | WA | |
| Athletic Trainer | 2255A2300X | 1008 | OK | Primary |
Addresses
Primary practice location
South Division Street
Fort Lewis, WA 98433
Mailing address
8569 Highway 789
Lander, WY 82520-9474
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
| License | State | Type | Specialty |
|---|---|---|---|
| A161600256 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1619480894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8569 HIGHWAY 789",
"city": "LANDER",
"state": "WY",
"postal_code": "825209474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH DIVISION STREET",
"city": "FORT LEWIS",
"state": "WA",
"postal_code": "98433",
"telephone_number": "307-349-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVENDICK",
"first_name": "MOLLY",
"middle_name": "JEAN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-10",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A161600256",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "1008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lewis, WA
- Makayla Raeanne Florez, DAT, LAT, ATC
- Norman Albert Gosch, M.D.
- Michael B Hammond, PT
- Matthew Justin Hayase, DDS
- Terry Lynn Heath, M. ED.
- Marie B Hubbard, DTR
- Heather Ann Johnston, PHYSICIAN ASSISTANT
- Andrew E. Leigh, MPAS
- Madigan Army Medical Center.
- Madigan Army Medical Ctr (Usadc Ft. Lewis Okubo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.