Carissa Mora-Rodriguez
NPI 1629504642ActiveOrganization· Exclusive Provider Organization· Salt Lake City, UT
Exclusive Provider Organization in Salt Lake City, Utah, registered in NPPES in May 2017. The authorized official on file is Carissa Mora-Rodriguez, Owner.
Overview
| NPI | 1629504642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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