Active NPI
Mariah L Gleason, MS
- Genetic Counselor (M.S.)
- Charlotte, NC
National Provider Identifier
1427588243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 1021 Morehead Medical Dr Ste 2300
Charlotte, NC 28204-2991 - Phone
- (980) 442-2515
- NPI assigned
- Jun 14, 2017
- 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 | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr Ste 2300
Charlotte, NC 28204-2991
Mailing address
1021 Morehead Medical Dr Ste 2300
Charlotte, NC 28204-2991
Phone (980) 442-2515
Other practice location 1
720 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (980) 442-2515
Other names 1
- Mariah L Bruce
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1427588243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR STE 2300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042991",
"telephone_number": "980-442-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR STE 2300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042991",
"telephone_number": "980-442-2515"
}
],
"practiceLocations": [
{
"address_1": "720 Malcolm Blvd",
"address_purpose": "LOCATION",
"city": "Connelly Springs",
"state": "NC",
"postal_code": "286127920",
"country_code": "US",
"telephone_number": "980-442-2515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLEASON",
"first_name": "MARIAH",
"middle_name": "L",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "BRUCE",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.