Anna Patricia Moh, MS, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GT61177658 Issued in WA

Practice address

877 Executive Center Dr W Ste 306
St Petersburg, FL 33702-2460

Phone

(800) 975-4819

Fax

(800) 930-0961

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Informed Medical Decisions, Inc.

  dba Informed DNA

  • Genetic Counselor (M.S.)
  • St Petersburg, FL
  • NPI 1568633121

  Genetic Counselor, Ms

  NPD (past)
• Informeddna Medical Group, P.a.

  • Genetic Counselor (M.S.)
  • St Petersburg, FL
  • NPI 1942842042

  Genetic Counselor, Ms

  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1841860848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 EXECUTIVE CENTER DR W STE 306",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022460",
            "telephone_number": "800-975-4819",
            "fax_number": "800-930-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 EXECUTIVE CENTER DR W STE 306",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022460",
            "telephone_number": "800-975-4819",
            "fax_number": "800-930-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOH",
        "first_name": "ANNA",
        "middle_name": "PATRICIA",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "GT61177658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Ashok Modh, M.D.
• Melanie Heather Modica, MSW
• Christopher Jared Modrzynski, M.S. CF-SLP
• Andrew Moen
• Lindsey E. Moers
• Mohadjer Consulting LLC (Eyelid Surgeons of Tampa Bay)
• Yasaman Mohadjer, MD
• Zeenath Mohammad, MD
• Candace Mohammed
• Javed Amir Mohammed, OTD, OTR/L, CSRS

• Genetic Counselor (M.S.) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.