CARISSA MORA-RODRIGUEZ (NPI# 1629504642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629504642 |
| Entity Type | Organization |
| Organization Name | CARISSA MORA-RODRIGUEZ |
| Practice Address |
415 E Woodlake Ln #152 Salt Lake City UT 84107-1990 |
| Practice Telephone | 8015568064 |
| Mailing Telephone | 8015568064 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | CARISSA MORA-RODRIGUEZ (OWNER) |
| Authorized Official Telephone | 8015568064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
415 E WOODLAKE LN #152 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528207727 | Advanced Hearing Solutions | Exclusive Provider Organization | 4578 Highland Dr Ste 270, Salt Lake City, UT 84117-4214 | 2009-02-11 |
| 1235697608 | Luna Y Sol LLC | Exclusive Provider Organization | 150 S 600 E Ste 7c, Salt Lake City, UT 84102-1989 | 2019-03-05 |
| 1396107348 | Rising Health Specialty Center | Exclusive Provider Organization | 3018 E 3300 S, Salt Lake City, UT 84109-2144 | 2016-03-28 |
| 1144467424 | Christensen Optometry A Professional Limited Liability Com | Exclusive Provider Organization | 1905 S 300 W, Salt Lake City, UT 84115-1806 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631587 | Axum Corporate Health Strategies | Exclusive Provider Organization | 4888 W River Chase Rd, Herriman, UT 84096-3423 | 2018-09-05 |
| 1811447725 | Loose Cannon Social Work, LLC. | Exclusive Provider Organization | 2298 E 200 S, Saint George, UT 84790-1603 | 2016-10-04 |
| 1730326919 | Heritage Counseling, Pllc | Exclusive Provider Organization | 1747 Heritage Ln Ste B103, Syracuse, UT 84075-8546 | 2009-01-09 |
| 1396906962 | Places In The Heart, Inc | Exclusive Provider Organization | 881 S Orem Blvd, Suite 2, Orem, UT 84058-5033 | 2008-06-17 |
| 1871641449 | Family Matters Services Inc | Exclusive Provider Organization | 1604 Church St, Layton, UT 84041-8335 | 2007-01-08 |
| 1639289010 | Daybreak Training Services | Exclusive Provider Organization | 599 W Center St, Pleasant Grove, UT 84062-2252 | 2006-08-30 |
| 1982142824 | Bluffdale Dental | Exclusive Provider Organization | 14100 S Redwood Rd, Bluffdale, UT 84065-5204 | 2017-02-10 |
| 1225571599 | Lds Family Services | Exclusive Provider Organization | 2480 Red Cliffs Dr, St George, UT 84790-5457 | 2016-11-18 |
| 1972050532 | Ascend2llc | Exclusive Provider Organization | 1367 N 550 E, Nephi, UT 84648-2213 | 2016-09-01 |
| 1861887838 | B. Charles Pugh D.d.s., P.C. | Exclusive Provider Organization | 12694 S Redwood Rd, Riverton, UT 84065-6605 | 2015-04-06 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.