Individual provider Active NPI

Lynn E Godar-Mollica, APRN

  • Gerontology Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1831291673
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9313160 Issued in FL
Practice address
63 Colony Rd
Jupiter, FL 33469-3507
Phone
(561) 246-1862
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9313160 FL Primary

Addresses

Primary practice location

63 Colony Rd
Jupiter, FL 33469-3507

Mailing address

63 Colony Rd
Jupiter, FL 33469-3507
Phone (561) 246-1862

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9313160FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lgmollica Group, LLC Current Accepting new patients
Fred E Griffiths Past Accepting new patients
Medoptions Behavioral Health Assoc, LLC Past Accepting new patients

Organizations & group practices 3

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1831291673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COLONY RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334693507",
            "telephone_number": "561-246-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 COLONY RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334693507",
            "telephone_number": "561-246-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODAR-MOLLICA",
        "first_name": "LYNN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9313160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.