Individual provider Active NPI

Suzette Marie Huguenin, PHD

  • Ph.D. Medical Genetics
  • Baltimore, MD
National Provider Identifier
1306484902
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Practice address
Kennedy Krieger Institute
707 N Broadway RM 526
Baltimore, MD 21205-1832
Phone
(443) 923-2782
Fax
(443) 923-2781
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Biochemical Genetics Physician 207SG0202X 2005072B DC
Clinical Molecular Genetics Physician 207SG0203X 2005072W DC
Ph.D. Medical Genetics 170100000X Primary

Addresses

Primary practice location

Kennedy Krieger Institute
707 N Broadway RM 526
Baltimore, MD 21205-1832

Mailing address

Kennedy Krieger Institute
707 N Broadway RM 526
Baltimore, MD 21205-1832
Phone (443) 923-2782

Other names 1

  • Dr. Suzette Marie Huguenin Professional 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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2005072BDCMDClinical Biochemical Genetics Physician
2005072WDCMDClinical Molecular Genetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1306484902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KENNEDY KRIEGER INSTITUTE",
            "address_2": "707 N BROADWAY RM 526",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051832",
            "telephone_number": "443-923-2782",
            "fax_number": "443-923-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KENNEDY KRIEGER INSTITUTE",
            "address_2": "707 N BROADWAY RM 526",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051832",
            "telephone_number": "443-923-2782",
            "fax_number": "443-923-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGUENIN",
        "first_name": "SUZETTE",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "DC",
            "license": "2005072B",
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "DC",
            "license": "2005072W",
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "HUGUENIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.