Priscillia N Moghalu

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN1004120 Issued in DC

Practice address

6856 Eastern Ave NW
Washington, DC 20012-2165

Phone

(202) 541-9844

NPI assigned

Nov 10, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1013420108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 CASTLE RIDGE CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047321",
            "telephone_number": "301-256-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-541-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHALU",
        "first_name": "PRISCILLIA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP43275",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1004120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terssas Moges
• Christin Moggio
• Faheem Nawaz Moghal, M.D.
• Dennis Moghalu
• Philo Moghalu
• Tarek Mohammad Mogharbel, DDS
• Yavar Moghimi, M.D.
• Sam Moghtaderi, M.D.
• Rachel S Mogil, MD
• Ghislaine Kenmegne Datouo Mogo

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.