Nora Elizabeth Mulloy, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

75962 Issued in MN

Practice address

1880 Livingston Ave Ste 102
West St Paul, MN 55118-3426

Phone

(808) 433-6345

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nora.mulloy.1@31714.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.

• Mendakota Pediatrics LTD

  • Pediatrics Physician
  • West St Paul, MN
  • NPI 1497739320
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1629519491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "808-433-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLOY",
        "first_name": "NORA",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102205555",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "75962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro-Mobile Chiropractic, PC
• Emily Anne Miller, MS, RN, PMHNP-BC
• Minntran
• Miracle Adult Day Care Center of Minnesota
• Abdullahi Abdi Mohamed
• Kristen Marie Neisen, LPCC, LADC
• Alicia Marie Newman, MSW, LICSW
• Titiana Ngongang
• Kathryn Sawyer Nippert, PHARMD
• Madeline Alesca North, LPCC

• Pediatrics Physician in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.