Stacey Kay Molinar, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0990429-NP Issued in CO

Practice address

1128 Eagleridge Blvd
Pueblo, CO 81008-2103

Phone

(719) 778-1414

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

Yes

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 CO

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20268/brand/1/csg/1/fhir/r4

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.

• Advanced Practice Headache and Primary Care Clinic

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1013490259
  NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1821338211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 KELSEY CT",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812267509",
            "telephone_number": "719-371-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 EAGLERIDGE BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082103",
            "telephone_number": "719-778-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 McIntyre St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804037445",
            "country_code": "US",
            "telephone_number": "720-434-4876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Kelsey Ct",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "CO",
            "postal_code": "81226",
            "country_code": "US",
            "telephone_number": "719-371-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINAR",
        "first_name": "STACEY",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990429-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mousab Mohammed Ibrahim Mokhtar
• Aaron Molencamp, P.A.
• Dulce I Molina, COTA/L
• Laura Maria Molina, MSW
• Veronica Molina
• Momentum Counseling and Consulting LLC
• Roberta Monahan, MS, OTR
• Ramona Elizabeth Moncibais, MSW, LCSW
• Lynn Ellen Mondragon, COTA/L
• Natasha Liette Mondragon, RN

• Family Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.