Individual provider Active NPI

Holly Alanna Catlin Mollenkopf, M.D.

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1760770432
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101255177 Issued in VA
Practice address
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone
(757) 369-9446
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101255177 VA Primary

Addresses

Primary practice location

12997 Warwick Blvd
Newport News, VA 23602-8352

Mailing address

2221 Kendall St
Virginia Beach, VA 23451-1741
Phone (571) 839-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150128000698 VA Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0547584252 Reassigns benefits to 2 organizations
I20200107000432 DC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0547584252 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Consonant Healing Medical Associates CurrentSince Aug 1, 2023 Accepting new patients
Peninsula Radiological Associates Limited PastSince Dec 8, 2016 Accepting new patients

Locations

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486252800000",
    "number": "1760770432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 KENDALL ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511741",
            "telephone_number": "571-839-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLENKOPF",
        "first_name": "HOLLY",
        "middle_name": "ALANNA CATLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2017-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.