Active NPI
Molly Brown, APRN
- Women's Health Nurse Practitioner
- Middlebury, VT
National Provider Identifier
1962704726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 101.0072674
- Practice address
- 116 Porter Dr
Middlebury, VT 05753-8501 - Phone
- (802) 388-6326
- NPI assigned
- Nov 30, 2010
- Last updated
- Sep 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F421020-1 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | 101.0072674 | VT | Primary |
Addresses
Primary practice location
116 Porter Dr
Middlebury, VT 05753-8501
Mailing address
116 Porter Dr
Middlebury, VT 05753-8501
Phone (802) 388-6326
Other practice location 1
3278 Mitchell Blvd
23rd Medical Group
Moody AFB, GA 31699-1500
Phone (229) 257-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F421020-1 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Porter Hospital Inc | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients |
Locations
115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- mbrown235233@direct.uvmhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Middlebury, VT
- NPI 1740291400
-
- General Practice Physician
- Elizabethtown, NY
- NPI 1053656744
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
dba Porter Medical Group
- Family Medicine Physician
- Middlebury, VT
- NPI 1134457013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1962704726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 PORTER DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538501",
"telephone_number": "802-388-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PORTER DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538501",
"telephone_number": "802-388-6326"
}
],
"practiceLocations": [
{
"address_1": "3278 Mitchell Blvd",
"address_2": "23rd Medical Group",
"address_purpose": "LOCATION",
"city": "Moody AFB",
"state": "GA",
"postal_code": "316991500",
"country_code": "US",
"telephone_number": "229-257-1459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MOLLY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F421020-1",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VT",
"license": "101.0072674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.