MOLLY LEVY (NPI# 1023502697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023502697 |
| Entity Type | Individual |
| Full Name | MOLLY LEVY |
| Other Name | MOLLY MCINTYRE |
| Credential | FNP-C |
| Practice Address |
5200 Fairview Blvd Wyoming MN 55092 |
| Mailing Address |
5200 Fairview Blvd Wyoming MN 55092-8013 |
| Practice Telephone | 6519827600 |
| Mailing Telephone | 6519827600 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6375 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008038A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11680 Commercial Dr Ste 200, Fishers, IN 460382950 | 3174368712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477020964 | Molly Marie Levy | Day Training/Habilitation Specialist | 4129 S Meadows Rd Apt 2023, Santa Fe, NM 87507-2711 | 2018-11-01 |
| Street Address |
5200 FAIRVIEW BLVD |
| City | WYOMING |
| State | MN |
| Zip Code | 55092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061371 | Gunnar Jon Erickson | Ophthalmology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2005-05-24 |
| 1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
| 1023648235 | Cassandra L Etheridge | Physician Assistant | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-01-16 |
| 1023652211 | Natasha Lackas | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-10-31 |
| 1467019414 | Terrence Ellis | Clinical Exercise Physiologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-24 |
| 1790341493 | Krystal Kraemer | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-17 |
| 1225509037 | Lauren Downie | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-12-06 |
| 1861977787 | Magdalen Rene Gadbois | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-09-26 |
| 1285110338 | Marie Hudalla | Physical Therapist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-07-12 |
| 1982118642 | Meghan Wellmann | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2017-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1396087433 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 104, Wyoming, MN 55092 | 2013-03-26 |
| 1598007726 | Fairview Health Services | Prosthetic/Orthotic Supplier | 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 | 2013-03-26 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578074654 | Kristine Lynn Lidbeck | Nurse Practitioner | 6105 Wilson Ave Sw Ste 2, Wyoming, MI 49418-9714 | 2017-10-17 |
| 1700238730 | Kristen Denise Borchelt | Nurse Practitioner | 917 Oregon Trl, Wyoming, OH 45215-2535 | 2016-07-01 |
| 1205477924 | Samantha Mette | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-10-03 |
| 1518508704 | Rachel Kloosterman | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2019-09-30 |
| 1063060028 | Dianne Teresa Brigalia | Nurse Practitioner | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2019-09-03 |
| 1497309751 | Julie Ann Dragt | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-25 |
| 1326691791 | Kory Allen Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-24 |
| 1467005165 | Andrea Lynn Eastway | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1295393254 | Julie Anne Perski | Nurse Practitioner | 2221 Health Dr Sw Ste 2100, Wyoming, MI 49519-9650 | 2019-06-04 |
| 1740848316 | Bryan Douglas Brooks | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2019-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.