MARY BETH MOLLENKOPF (NPI# 1689101651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689101651 |
| Entity Type | Individual |
| Full Name | MARY BETH MOLLENKOPF |
| Credential | MSN, RN AGCNS-BC |
| Practice Address |
1130 Hoffman Rd Seguin TX 78155-0956 |
| Practice Telephone | (830) 305-0109 |
| Mailing Telephone | 8303050109 |
| Enumeration Date | 2017-05-21 |
| Last Update Date | 2017-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 133044 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 HOFFMAN RD |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-0956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1144843103 | Katie Elaine Malone | Clinical Nurse Specialist | 1325 Pennsylvania Ave Ste 500, Fort Worth, TX 76104-2130 | 2020-05-26 |
| 1912561051 | Princess Rollins Holt | Clinical Nurse Specialist | 2300 Highland Village Rd Ste 300, Highland Village, TX 75077-7157 | 2019-04-24 |
| 1538646062 | William Stone | Clinical Nurse Specialist | 1400 Clarewood Dr Apt 325, San Marcos, TX 78666-8034 | 2018-07-26 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1891206835 | Rebecca Robles | Clinical Nurse Specialist | 2500 West Fwy Ste 200, Fort Worth, TX 76102-5851 | 2017-10-17 |
| 1467970145 | Kimberley Gayle Brooks | Clinical Nurse Specialist | 507 Denali Pass, Cedar Park, TX 78613 | 2017-09-01 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1821532565 | Equilibre Clinic LLC | Clinical Nurse Specialist | 6025 Metropolitan Dr Ste 210, Beaumont, TX 77706-2409 | 2016-12-15 |
| 1285032656 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 2301 Cedar Ridge Rd, Waco, TX 76708-2347 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
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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.