Active NPI
Courtney Elisabeth Gwynne, MS, CGC
- Genetic Counselor (M.S.)
- Boston, MA
National Provider Identifier
1346017100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC10037
- Practice address
- 55 Fruit St Ste 5B
Boston, MA 02114-2696 - Phone
- (617) 724-3184
- NPI assigned
- Dec 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GC10037 | MA | Primary |
Addresses
Primary practice location
55 Fruit St Ste 5B
Boston, MA 02114-2696
Mailing address
185 Cambridge St FL 5
5.814
Boston, MA 02114-2790
Phone (617) 724-3184
Other names 1
- Courtney Elisabeth Leonard
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
| License | State | Type | Specialty |
|---|---|---|---|
| GC10037 | MA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1346017100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CAMBRIDGE ST FL 5",
"address_2": "5.814",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142790",
"telephone_number": "617-724-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST STE 5B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-724-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWYNNE",
"first_name": "COURTNEY",
"middle_name": "ELISABETH",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MA",
"license": "GC10037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "LEONARD",
"middle_name": "ELISABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.