Molly Mayerle Conklin

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1061190 Issued in TX

Practice address

3306 Creek Shadows Dr
Kingwood, TX 77339-1289

Phone

(832) 387-8404

NPI assigned

Dec 26, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1760142210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 OLD SPANISH TRL APT 243",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542244",
            "telephone_number": "832-387-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 CREEK SHADOWS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391289",
            "telephone_number": "832-387-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "MOLLY",
        "middle_name": "MAYERLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1061190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassitant Companion Care LLC
• Complete Dental Care Group
• Complete Dental Care Group PLLC
• Michael Pacifico Conde, NP
• William Condrin, M.D.
• Connect ABA and Consulting LLC
• Connected Healthcare Partners, PLLC
• Gregory James Conner, PT, DPT
• Conquer Counseling LLC
• Consolidated Anesthesia Providers, PLLC

• Acute Care Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.