Individual provider Active NPI

Mollie E. Aleshire, APRN

  • Primary Care Nurse Practitioner
  • Wilmore, KY
National Provider Identifier
1912946328
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3004165 Issued in KY
Practice address
317 E Main St
Wilmore, KY 40390-1323
Phone
(859) 858-0339
Fax
(859) 858-0341
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3004165 KY Primary

Addresses

Primary practice location

317 E Main St
Wilmore, KY 40390-1323

Mailing address

317 E Main St
Wilmore, KY 40390-1323
Phone (859) 858-0339

Other identifiers 2

IdentifierTypeStateIssuer
78010949MedicaidKY
000000311801OtherKYANTHEM

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
3004165KYMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1912946328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-858-0339",
            "fax_number": "859-858-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-858-0339",
            "fax_number": "859-858-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESHIRE",
        "first_name": "MOLLIE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3004165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010949",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000311801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmore, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.