Lisa A. Moghissi, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA07617 Issued in OH

Practice address

3535 Olentangy River Rd
Riverside Methodist Hospital
Columbus, OH 43214

Phone

(614) 566-5366

Fax

(614) 566-6675

NPI assigned

Jan 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1114164332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DRIVE",
            "address_2": "J4 NICU - NNP PROGRAM",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43205",
            "telephone_number": "614-722-6510",
            "fax_number": "722-722-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "address_2": "RIVERSIDE METHODIST HOSPITAL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-566-5366",
            "fax_number": "614-566-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHISSI",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN308941-COA1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA07617",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "OH",
            "license": "NCCMOGI-0427-7877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Moffitt, LPC
• Yashasvini Mogalla, MD
• Samantha Dawn Mogan, AUD
• Timothy Jacob Mogan, APRN-CNP
• Aden Moges, LISW-S
• Miriam Mogilevsky
• Hamza Mohamd
• Lulu Mohamed Albakri
• Aminata Neneh Mohamed Barrie, RN
• Ali Ahmed Mohamed Yusuf

• Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.