Individual provider Active NPI

Leslie Godwin, CGC

  • Genetic Counselor (M.S.)
  • Albuquerque, NM
National Provider Identifier
1104295963
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC2012-002 Issued in NM
Practice address
3741 Rutledge Rd NE
Albuquerque, NM 87109-5566
Phone
(505) 798-9300
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GC2012-002 NM Primary

Addresses

Primary practice location

3741 Rutledge Rd NE
Albuquerque, NM 87109-5566

Mailing address

3741 Rutledge Rd NE
Albuquerque, NM 87109-5566
Phone (505) 798-9300

Other names 1

  • Miss Leslie Harless Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
GC2012-002NMMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Pinon Perinatal Inc PastSince Jul 1, 2014 Accepting new patients
Pinon Perinatal Genetic Counselor, Ms Past Accepting new patients
Lovelace Health System LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1104295963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 RUTLEDGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095566",
            "telephone_number": "505-798-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 RUTLEDGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095566",
            "telephone_number": "505-798-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NM",
            "license": "GC2012-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HARLESS",
            "prefix": "MISS",
            "credential": "CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.