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Carissa Mora-Rodriguez

Exclusive Provider Organization in Salt Lake City, UT · enumerated 2017 · authorized official Carissa Mora-Rodriguez, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629504642

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Registry record

Entity type Organization (Type 2)
Legal business name Carissa Mora-Rodriguez
Practice address 415 E Woodlake Ln, #152, Salt Lake City, UT, 84107
Phone (801) 556-8064
Enumeration date May 11, 2017
Last updated in NPPES May 11, 2017

Taxonomy & classification

302F00000X Exclusive Provider Organization Managed Care Organizations Primary

Authorized official

Name Carissa Mora-Rodriguez
Title Owner
Phone (801) 556-8064

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Carissa Mora-Rodriguez?
The NPI for Carissa Mora-Rodriguez is 1629504642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Carissa Mora-Rodriguez?
NPPES lists Carissa Mora-Rodriguez (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-11.