Active NPI
Cynthia Anice Watson, M.S. C.G.G.
- Genetic Counselor (M.S.)
- St Petersburg, FL
National Provider Identifier
1407280001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 877 Executive Center Dr W
Suite 206
St Petersburg, FL 33702-2460 - Phone
- (760) 670-4551
- NPI assigned
- Aug 30, 2013
- 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 | TN | Primary |
Addresses
Primary practice location
877 Executive Center Dr W
Suite 206
St Petersburg, FL 33702-2460
Mailing address
877 Executive Center Dr W
Suite 206
St Petersburg, FL 33702-2460
Phone (760) 670-4551
Other names 1
- Cynthia Anice Freeman
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Informeddna Medical Group, P.a. | Genetic Counselor, Ms | Past | Accepting new patients |
| Informed Medical Decisions, Inc. | Genetic Counselor, Ms | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Genetic Counselor (M.S.)
- St Petersburg, FL
- NPI 1568633121
Genetic Counselor, Ms
-
- Genetic Counselor (M.S.)
- St. Petersburg, FL
- NPI 1942842042
Genetic Counselor, Ms
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1407280001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 EXECUTIVE CENTER DR W",
"address_2": "SUITE 206",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022460",
"telephone_number": "760-670-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 EXECUTIVE CENTER DR W",
"address_2": "SUITE 206",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022460",
"telephone_number": "760-670-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CYNTHIA",
"middle_name": "ANICE",
"credential": "M.S. C.G.G.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "FREEMAN",
"middle_name": "ANICE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.