Individual provider Active NPI

Molly Brown, APRN

  • Women's Health Nurse Practitioner
  • Middlebury, VT
National Provider Identifier
1962704726
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
101.0072674 Issued in VT
Practice address
116 Porter Dr
Middlebury, VT 05753-8501
Phone
(802) 388-6326
NPI assigned
Nov 30, 2010
Last updated
Sep 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110315000314 VT Practitioner - Nurse Practitioner 4587846399 Reassigns benefits to 2 organizations
I20210413001041 NY Practitioner - Nurse Practitioner 4587846399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421020-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince May 1, 2021 Accepting new patients
Porter Hospital Inc Current Accepting new patients
Elizabethtown Community Hospital CurrentSince May 1, 2021 Accepting new patients

Locations

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.