Mollie Haddigan-Mulberry, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

131888 Issued in WI

Practice address

9000 W Wisconsin Ave
Pediatric Hematology/Oncology/Bone Marrow Transplant
Milwaukee, WI 53226-4874

Phone

(414) 456-4170

Fax

(414) 456-6543

NPI assigned

May 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Metro Community Provider Network Inc

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1558727883
  Medicare reassignment NPD
• Metro Community Provider Network, Inc.

  • Community/Retail Pharmacy
  • Aurora, CO
  • NPI 1255591780
  NPD
• Kids First Health Care

  • Community Health Clinic/Center
  • Westminster, CO
  • NPI 1063239465
  NPD (past)
• Kids First Health Care

  • Primary Care Clinic/Center
  • Commerce City, CO
  • NPI 1215608179
  NPD (past)
• Kids First Health Care

  • Primary Care Clinic/Center
  • Commerce City, CO
  • NPI 1396407516
  NPD (past)
• Kids First Health Care

  • Community Health Clinic/Center
  • Thornton, CO
  • NPI 1437726882
  NPD (past)
• Kids First Health Care

  • Primary Care Clinic/Center
  • Commerce City, CO
  • NPI 1518629732
  NPD (past)
• Kids First Health Care

  • Community Health Clinic/Center
  • Commerce City, CO
  • NPI 1639200702
  NPD (past)
• Kids First Health Care

  • Primary Care Clinic/Center
  • Commerce City, CO
  • NPI 1790447985
  NPD (past)
• Kids First Health Care

  • Community Health Clinic/Center
  • Brighton, CO
  • NPI 1851987176
  NPD (past)
• Metro Community Provider Network Inc

  • Federally Qualified Health Center (FQHC)
  • Wheat Ridge, CO
  • NPI 1477679959
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1629029459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "PEDIATRIC HEMATOLOGY/ONCOLOGY/BONE MARROW TRANSPLANT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-456-4170",
            "fax_number": "414-456-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "PEDIATRIC HEMATOLOGY/ONCOLOGY/BONE MARROW TRANSPLANT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-456-4170",
            "fax_number": "414-456-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDIGAN-MULBERRY",
        "first_name": "MOLLIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "131888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "001856332F",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629029459",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hadassah Care Homes Inc.
• Amanda Haddad, DNP, NNP-BC, APRN
• Mustafa Mahmoud Haddad, MD
• Babak Haddadian, MD
• Kay Ellen Haddenham, P.T.
• Ann J Hadley, M.S.
• Kathleen Marie Hadsell, AU.D.
• Jenna Ruth Haeberle, APRN, CNM
• Haecceity Supportive Care LLC
• Rebecca A Haefner, MD

• Pediatric Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.