Individual provider Active NPI

Bridget Molyneaux

  • Homemaker
  • Woodbridge, VA
National Provider Identifier
1881002228
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
HCO-12728 Issued in VA
Practice address
13198 Centerpointe Way
Suite 102
Woodbridge, VA 22193-5285
Phone
(703) 580-5696
Fax
(703) 580-5697
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X HCO-12728 VA Primary

Addresses

Primary practice location

13198 Centerpointe Way
Suite 102
Woodbridge, VA 22193-5285

Mailing address

4318 Kentland Dr
Woodbridge, VA 22193-5272
Phone (703) 878-6920

Other identifiers 1

IdentifierTypeStateIssuer
1972800159OtherVAHOME HEALTHCARE AGENCY

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

State licenses

LicenseStateTypeSpecialty
HCO-12728VAMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
BJN Home Healthcare Inc Current Accepting new patients

Organizations & group practices 1

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1881002228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 KENTLAND DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935272",
            "telephone_number": "703-878-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13198 CENTERPOINTE WAY",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935285",
            "telephone_number": "703-580-5696",
            "fax_number": "703-580-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEAUX",
        "first_name": "BRIDGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "VA",
            "license": "HCO-12728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTHCARE AGENCY",
            "identifier": "1972800159",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.