Individual provider Active NPI

Molly Lynn Mustafa, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Rochester, MN
National Provider Identifier
1851048102
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
2457492 Issued in MN
Practice address
3220 6TH Ave NE Unit B
Rochester, MN 55906-3805
Phone
(507) 291-9830
Fax
(507) 291-9824
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 2457492 MN Primary

Addresses

Primary practice location

3220 6TH Ave NE Unit B
Rochester, MN 55906-3805

Mailing address

4648 Cassidy Ridge Dr NE
Rochester, MN 55906-8431
Phone (507) 291-9830

Other practice location 1

4648 Cassidy Ridge Dr NE
Rochester, MN 55906-8431
Phone (507) 291-9830

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

LicenseStateTypeSpecialty
2457492MNMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Medcity Community Lactation Center P.L.L.C. CurrentSince Nov 8, 2025 Accepting new patients
Medcity Lactation and Feeding Services LLC Lactation Consultant CurrentSince Nov 3, 2024 Accepting new patients

Locations

3220 6th Ave NE
Unit B
Rochester, MN 55906
Phone (507) 291-9830

Organizations & group practices 2

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1851048102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 CASSIDY RIDGE DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068431",
            "telephone_number": "507-291-9830",
            "fax_number": "507-291-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 6TH AVE NE UNIT B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063805",
            "telephone_number": "507-291-9830",
            "fax_number": "507-291-9824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4648 Cassidy Ridge Dr NE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559068431",
            "country_code": "US",
            "telephone_number": "507-291-9830",
            "fax_number": "507-291-9824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "MOLLY",
        "middle_name": "LYNN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "2457492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.