Individual provider Active NPI

Alex Marie Yragui, M.S.

  • Genetic Counselor (M.S.)
  • Santa Fe, NM
National Provider Identifier
1144603069
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC2015-013 Issued in NM
Practice address
1692 Hospital Dr
Building B, Suite 101
Santa Fe, NM 87505-4754
Phone
(505) 984-2560
Fax
(505) 989-3841
NPI assigned
Jul 9, 2015
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 GC2015-013 NM Primary

Addresses

Primary practice location

1692 Hospital Dr
Building B, Suite 101
Santa Fe, NM 87505-4754

Mailing address

1633 Camino la Canada
Santa Fe, NM 87501-2324
Phone (949) 751-9185

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
GC2015-013NMMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1144603069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CAMINO LA CANADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012324",
            "telephone_number": "949-751-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 HOSPITAL DR",
            "address_2": "BUILDING B, SUITE 101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-984-2560",
            "fax_number": "505-989-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YRAGUI",
        "first_name": "ALEX",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NM",
            "license": "GC2015-013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

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