Individual provider Active NPI

Shawnia Rae Ryan, M.S., C.G.C.

  • Genetic Counselor (M.S.)
  • Albuquerque, NM
National Provider Identifier
1316915127
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC2014-011 Issued in NM
Practice address
1201 Camino de Salud
Msc07 4025
Albuquerque, NM 87131-0001
Phone
(505) 925-0156
Fax
(505) 925-0187
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X
Genetic Counselor (M.S.) 170300000X GC2014-011 NM Primary

Addresses

Primary practice location

1201 Camino de Salud
Msc07 4025
Albuquerque, NM 87131-0001

Mailing address

1001 Tramway Blvd NE
#33
Albuquerque, NM 87112-6280
Phone (505) 925-0156

Other names 1

  • Shawnia Rae Forrester Former 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
Master of Science

State licenses

LicenseStateTypeSpecialty
GC2014-011NMMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1316915127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TRAMWAY BLVD NE",
            "address_2": "#33",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126280",
            "telephone_number": "505-925-0156",
            "fax_number": "505-925-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CAMINO DE SALUD",
            "address_2": "MSC07 4025",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-925-0156",
            "fax_number": "505-925-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SHAWNIA",
        "middle_name": "RAE",
        "credential": "M.S., C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NM",
            "license": "GC2014-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNIA",
            "last_name": "FORRESTER",
            "middle_name": "RAE",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.