Individual provider Active NPI

Cherie Michelle Daffron, CAC II

  • Genetic Counselor (M.S.)
  • Pueblo, CO
National Provider Identifier
1215126222
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
6527 Issued in CO
Practice address
509 E 13TH St
Pueblo, CO 81001-2940
Phone
(719) 546-6666
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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 6527 CO Primary

Addresses

Primary practice location

509 E 13TH St
Pueblo, CO 81001-2940

Mailing address

509 E 13TH St
Pueblo, CO 81001-2940
Phone (719) 546-6666

Other identifiers 1

IdentifierTypeStateIssuer
6527OtherCOCAC II

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

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1215126222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFRON",
        "first_name": "CHERIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CO",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAC II",
            "identifier": "6527",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.