Active NPI
Lori Monette Mollon, RN
- Critical Care Medicine Registered Nurse
- Taylor, MI
National Provider Identifier
1790431864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 4704209602
- Practice address
- 10000 Telegraph Rd
Taylor, MI 48180-3330 - Phone
- (313) 295-5327
- NPI assigned
- Feb 26, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704209602 | MI | Primary |
Addresses
Primary practice location
10000 Telegraph Rd
Taylor, MI 48180-3330
Mailing address
1590 Baldwin Rd
Monroe, MI 48162-8825
Phone (734) 672-5705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704209602 | MI | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645833600000",
"number": "1790431864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 BALDWIN RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481628825",
"telephone_number": "734-672-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 TELEGRAPH RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803330",
"telephone_number": "313-295-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLON",
"first_name": "LORI",
"middle_name": "MONETTE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-26",
"last_updated": "2022-02-26",
"certification_date": "2022-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704209602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.