Molly Mae Olheiser, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

105950 Issued in OR

Practice address

384 SE Combs Flat Rd
Prineville, OR 97754-2562

Phone

(541) 447-8439

Fax

(541) 447-8724

NPI assigned

Jan 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1902558927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 SE COMBS FLAT RD",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977542562",
            "telephone_number": "541-447-8439",
            "fax_number": "541-447-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 SE COMBS FLAT RD",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977542562",
            "telephone_number": "541-447-8439",
            "fax_number": "541-447-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLHEISER",
        "first_name": "MOLLY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "105950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmolheiser@stcharleshealthcare.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "St. Charles Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "384 SE Combs Flat Rd",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977542562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Warren Robert Ocano, DPT
• Ochoco Chiropractic LLC
• Ochoco Dental
• Ochoco Vision Source LLP
• Anita Ogden, RN
• Oregon CVS Pharmacy LLC (CVS Pharmacy #11642)
• Leeann Cheryl Osborne, PA
• Megan Theresa Ossinger, BA
• Megan Angela Ostby
• Joe Panelli, PA-C

• Community Health Worker in Prineville, OR
• Providers in Prineville, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.