JESSICA E MOLLABASHY (NPI# 1174840003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174840003 |
| Entity Type | Individual |
| Full Name | JESSICA E MOLLABASHY |
| Credential | PNP |
| Practice Address |
2001 W 86th St Indianapolis IN 46260-1902 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 3173384673 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71002979A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2001 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
| 1881209294 | Jennifer L Maupin | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-09-11 |
| 1851904973 | Taylor Anne Vandervort | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-28 |
| 1437762796 | Casey Michelle O'neal | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-26 |
| 1396360590 | Kathleen Sue Lilegdon | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-06-12 |
| 1033732979 | Rachel Leigh Thelen | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-27 |
| 1942823976 | Shelby Nichole Preston | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-26 |
| 1396367165 | Gabrielle Ann Vickery | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-14 |
| 1154950798 | Kaylee Elizabeth Poole | Pharmacist | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-06 |
| 1326677014 | Julie Mary Bittar | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1710230388 | Nicole Lois Mohr-eslinger | Nurse Practitioner | 8010 E 75th St, Indianapolis, IN 46256-2003 | 2012-10-19 |
| 1952650673 | Juliann Kay Kiefer | Nurse Practitioner | 705 Riley Hospital Dr # 4340, Indianapolis, IN 46202-5109 | 2012-09-10 |
| 1184911588 | Paul G Dengler | Nurse Practitioner | 2451 N Keystone Ave, Indianapolis, IN 46218-3503 | 2011-07-06 |
| 1710296629 | Katherine Magoon | Nurse Practitioner | 2001 W 86th St Fl 3, Indianapolis, IN 46260-1902 | 2010-09-27 |
| 1669701629 | Indianapolis Neurosurgical Group | Nurse Practitioner | 702 Riley Hospital Dr, Suite 1134, Indianapolis, IN 46202-5139 | 2009-12-21 |
| 1508191750 | Allison Rose Hammer | Nurse Practitioner | 575 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5272 | 2009-10-06 |
| 1225298227 | Sharon Kaye Tormoehlen | Nurse Practitioner | 702 Barnhill Dr Rm 4340, Indianapolis, IN 46202-5128 | 2008-06-12 |
| 1639351745 | Elissa A. Jones-hua | Nurse Practitioner | 2802 Lafayette Rd, Suite 13, Indianapolis, IN 46222-2157 | 2007-11-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on JESSICA E MOLLABASHY.
| 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.