Individual provider Active NPI

Brittany Athena Molkenthin

  • Pediatric Nurse Practitioner
  • Canterbury, CT
National Provider Identifier
1962029660
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
9537 Issued in CT
Practice address
188 Westminster Rd Unit 5
Canterbury, CT 06331-1434
Phone
(860) 556-9119
Fax
(833) 438-4939
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 142684 CT
Pediatric Nurse Practitioner 363LP0200X 9537 CT Primary

Addresses

Primary practice location

188 Westminster Rd Unit 5
Canterbury, CT 06331-1434

Mailing address

188 Westminster Rd Unit 5
Canterbury, CT 06331-1434
Phone (860) 556-9119

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
142684CTMDPediatric Registered Nurse
9537CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow With Me Pediatrics LLC Pediatrics CurrentSince Sep 21, 2025 Accepting new patients
Lavoie Practice of Pediatrics PastSince Nov 24, 2025 Accepting new patients
Inner Peace CT Past Accepting new patients
Manchester Pediatric Associates LLC PastSince Oct 1, 2024 Accepting new patients
Richard J Lavoie PastSince Jun 1, 2021 Accepting new patients
Tolland County Pediatrics & Adolescent Medicine, LLC PastSince Oct 1, 2024 Accepting new patients

Locations

188 Westminster Rd
Unit 5
Canterbury, CT 06331
Phone (860) 556-9119

Interoperability endpoints

  • Direct secure messaging: brittany.molkenthin.1@30283.direct.athenahealth.com
  • Direct secure messaging: brittany.molkenthin.1@33081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24324/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1962029660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 WESTMINSTER RD UNIT 5",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311434",
            "telephone_number": "860-556-9119",
            "fax_number": "833-438-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 WESTMINSTER RD UNIT 5",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311434",
            "telephone_number": "860-556-9119",
            "fax_number": "833-438-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLKENTHIN",
        "first_name": "BRITTANY",
        "middle_name": "ATHENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CT",
            "license": "142684",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "9537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.