Active NPI
Mojica LLC
- Nurse Practitioner
- Waterford, MI
National Provider Identifier
1235743592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MOJICA LLC
- Practice address
- 4163 W Pointe Dr
Waterford, MI 48329-4648 - Phone
- (248) 408-1474
- NPI assigned
- Sep 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trisha L Mojica, NP
- Title
- Owner
- Phone
- (248) 408-1474
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4163 W Pointe Dr
Waterford, MI 48329-4648
Mailing address
4163 W Pointe Dr
Waterford, MI 48329-4648
Phone (248) 408-1474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235743592 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlmojica@comcast.net |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Bloomfield Hills, MI
- NPI 1609259415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614729600000",
"number": "1235743592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4163 W POINTE DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294648",
"telephone_number": "248-408-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4163 W POINTE DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483294648",
"telephone_number": "248-408-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOJICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A",
"authorized_official_last_name": "MOJICA",
"authorized_official_first_name": "TRISHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-408-1474",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235743592",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlmojica@comcast.net",
"affiliation": "N",
"endpointDescription": "tlmojia@comcast.net",
"address_1": "4163 W Pointe Dr",
"city": "Waterford",
"state": "MI",
"country_code": "US",
"postal_code": "483294648",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.