Individual provider Active NPI

Molly Irizarry, ARNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1790140283
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016447 Issued in NC
Practice address
2801 Randolph Rd Ste 100
Charlotte, NC 28211-1051
Phone
(704) 367-4800
Fax
(704) 316-3025
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9362937 FL
Nurse Practitioner 363L00000X 5016447 NC Primary

Addresses

Primary practice location

2801 Randolph Rd Ste 100
Charlotte, NC 28211-1051

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3200 SW 60th Ct
suite 201
Miami, FL 33155-4000
Phone (305) 662-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, MI, CO, NH, MO, TX, KY, KS, IN, IA, IL, OH, AZ, MT, TN, WI17 enrollments
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 17

Enrollment IDStateProvider typePAC IDDetails
I20200909002452 FL Practitioner - Nurse Practitioner 7911325840
I20220901000868 NC Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 2 organizations
I20240508001377 MI Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20241028002950 CO Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20241209002342 NH Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250506002475 MO Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250506003800 TX Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250508000115 KY Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250512003114 KS Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250522000410 IN Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250522000532 IA Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250527002930 IL Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250604000557 OH Practitioner - Nurse Practitioner 7911325840
I20250616002457 AZ Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250616002562 MT Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250617004293 TN Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization
I20250625001779 WI Practitioner - Nurse Practitioner 7911325840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
35197TNMDFamily Medicine Physician
5016447NCMDNurse Practitioner
9362937FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Nurse Practitioner CurrentSince Jan 27, 2023 Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 6, 2023 Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Miami Associates in Pediatric Surgery PA PastSince Nov 21, 2019 Accepting new patients
Nicklaus Children's Pediatric Specialists, LLC Past Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients

Locations

6051 E 34th St
Yuma, AZ 85365
Phone (928) 247-8300

2825 Patterson Rd
Grand Junction, CO 81506
Phone (970) 242-7356

2501 Little Bookcliff Dr
Grand Junction, CO 81501
Phone (970) 245-1211

2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 332-4437

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

1130 17th Ave S
Great Falls, MT 59405
Phone (406) 771-4500

4128 Monroe Rd
Charlotte, NC 28205
Phone (704) 337-0133

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

139 Winter St
Tilton, NH 03276
Phone (603) 493-0665

2473 North Rd NE
Warren, OH 44483
Phone (330) 372-0788

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6707

1505 Orrin Rd
Prescott, WI 54021
Phone (715) 262-1107

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
  • Direct secure messaging: molly.irizarry@552337174953988.direct.elationemr.com
  • Direct secure messaging: mirizarry1067348@direct.novanthealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1790140283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RANDOLPH RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111051",
            "telephone_number": "704-367-4800",
            "fax_number": "704-316-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 SW 60th Ct",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554000",
            "country_code": "US",
            "telephone_number": "305-662-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "MOLLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9362937",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.