Simply Molli Aesthetics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SIMPLY MOLLI AESTHETICS LLC

Practice address

3031 E Indian School Rd
Phoenix, AZ 85016-6848

Phone

(520) 236-3884

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Sarah Wong, NPNPI 1164873907

Title

Nurse Practitioner

Phone

(520) 236-3884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Wong, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1164873907
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1992535827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 E INDIAN SCHOOL RD STE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166848",
            "telephone_number": "520-236-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY MOLLI AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "520-236-3884",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Simopoulos, O.D.
• Simos Home Care
• Simple Massaage, LLC
• Simplicity Health LLC
• Simply in Demand Chiropractic LLC
• Simply Psychology LLC
• Simplyrn LLC
• Walkennia Elaine Simpson-Earl
• Quanika Shuntaaye Simpson-Jackson, MD
• Alyssa Simpson, RDN, CGN, CLT

• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.