Active NPI
Robert Joseph Molle, C.R.N.P.
- Adult Health Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1710927074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R132683
- Practice address
- 116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027 - Phone
- (410) 897-9841
- Fax
- (410) 897-9852
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R132683 | MD | Primary |
Addresses
Primary practice location
116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Mailing address
116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Phone (410) 897-9841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189606700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050912000861 | MD | Practitioner - Nurse Practitioner | 9830161900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1710927074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY",
"address_2": "SUITE 400",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017027",
"telephone_number": "410-897-9841",
"fax_number": "410-897-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY",
"address_2": "SUITE 400",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017027",
"telephone_number": "410-897-9841",
"fax_number": "410-897-9852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLE",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R132683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189606700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.