Active NPI
Mygenomemylifemgml
- Health Information Technician
- Washington, DC
National Provider Identifier
1245812288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Technician
- Legal business name
- MYGENOMEMYLIFEMGML
- Practice address
- 1629 K St NW Ste 300NW
Washington, DC 20006-1602 - Phone
- (202) 476-0727
- NPI assigned
- Apr 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deepti Gupta
- Title
- Administrator
- Phone
- (513) 666-2440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
1629 K St NW Ste 300NW
Washington, DC 20006-1602
Mailing address
1629 K St NW Ste 300NW
Washington, DC 20006-1602
Phone (202) 476-0727
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628553600000",
"number": "1245812288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061602",
"telephone_number": "202-476-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061602",
"telephone_number": "202-476-0727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYGENOMEMYLIFEMGML",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "DEEPTI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "513-666-2440"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.