Jermicka Molder, COSMETOLOGIST

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1608544 Issued in TX

Practice address

4570 FM 1960 Rd E
Humble, TX 77346-2418

Phone

(409) 455-4391

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jermicka Molder Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1679249627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 SAILING DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462796",
            "telephone_number": "409-455-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462418",
            "telephone_number": "409-455-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDER",
        "first_name": "JERMICKA",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1608544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERMICKA",
            "last_name": "MOLDER",
            "credential": "DOUBLE DIAMOND HAIR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alaa Mohammed
• Anton Mohammed
• Shujauddin Mohammed
• Mohan Jacob,M.D.,P.a.
• Chanelle Molden, FNP
• Asmita Momin, PA-C
• Monarch Home Health Care Agency, Inc
• Monarch Surgical Center PA
• Debbie Monnichmobley, COTA
• Kaitlyn Monteiro, DC

• Prosthetic/Orthotic Supplier in Humble, TX
• Providers in Humble, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.