Active NPI
Molly Lenahan, P.A.-C
- Physician Assistant
- Orange Park, FL
National Provider Identifier
1902876253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 1862
- Practice address
- 1895 Kingsley Ave
Suite 303
Orange Park, FL 32073-4466 - Phone
- (904) 272-6161
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 1862 | FL | Primary |
Addresses
Primary practice location
1895 Kingsley Ave
Suite 303
Orange Park, FL 32073-4466
Mailing address
1895 Kingsley Ave
Suite 303
Orange Park, FL 32073-4466
Phone (904) 272-6161
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 1862 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902876253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 KINGSLEY AVE",
"address_2": "SUITE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734466",
"telephone_number": "904-272-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 KINGSLEY AVE",
"address_2": "SUITE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734466",
"telephone_number": "904-272-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENAHAN",
"first_name": "MOLLY",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 1862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.