Active NPI
Suzette Marie Huguenin, PHD
- Ph.D. Medical Genetics
- Baltimore, MD
National Provider Identifier
1306484902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005072B | DC | MD | Clinical Biochemical Genetics Physician |
| 2005072W | DC | MD | Clinical 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.