Active NPI
Misty Molina, Arnp
- Obstetrics & Gynecology Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1972068070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- MISTY MOLINA, ARNP
- Doing business as
- Lotus Holistic Wellness
- Practice address
- 6002 Westgateblvd., Ste 120
Tacoma, WA 98406 - Phone
- (253) 376-9070
- Fax
- (253) 248-0149
- NPI assigned
- Feb 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misty M Molina, ARNP, CNM, WHNP
- Title
- Owner/Provider
- Phone
- (253) 376-9070
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | Primary |
Addresses
Primary practice location
6002 Westgateblvd., Ste 120
Tacoma, WA 98406
Mailing address
PO Box 734
Fox Island, WA 98333
Phone (253) 376-9070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034218 | Medicaid | WA |
Other names 1
- Lotus Holistic Wellness
National Provider Directory
National Provider Directory- Tax ID family
- Lotus Holistic Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Nurse Practitioner
- Gig Harbor, WA
- NPI 1003271057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1972068070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734",
"city": "FOX ISLAND",
"state": "WA",
"postal_code": "98333",
"telephone_number": "253-376-9070",
"fax_number": "253-248-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 WESTGATEBLVD., STE 120",
"city": "TACOMA",
"state": "WA",
"postal_code": "98406",
"telephone_number": "253-376-9070",
"fax_number": "253-248-0149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISTY MOLINA, ARNP",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "MOLINA",
"authorized_official_first_name": "MISTY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "253-376-9070",
"authorized_official_credential": "ARNP, CNM, WHNP"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034218",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lotus Holistic Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.