Individual provider Active NPI

Lisa Michellemojezati Platon, P.A.

  • Medical Physician Assistant
  • Carrollton, TX
National Provider Identifier
1316299589
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08001 Issued in TX
Practice address
4217 Marsh Ridge Rd Ste 100
Carrollton, TX 75010-4416
Phone
(469) 809-2699
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08001 TX Primary

Addresses

Primary practice location

4217 Marsh Ridge Rd Ste 100
Carrollton, TX 75010-4416

Mailing address

4217 Marsh Ridge Rd Ste 100
Carrollton, TX 75010-4416
Phone (469) 809-2699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160617001543 TX Practitioner - Physician Assistant 4385935576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08001TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Eller MD PA PastSince Feb 1, 2023 Accepting new patients
Vital Wellness & Weight Loss P.a. PastSince Feb 1, 2023 Accepting new patients
Yuvan LLC PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1316299589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104416",
            "telephone_number": "469-809-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104416",
            "telephone_number": "469-809-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATON",
        "first_name": "LISA",
        "middle_name": "MICHELLEMOJEZATI",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.