Active NPI
Carol Jeanne Peterson, M.S., C.G.C.
- Genetic Counselor (M.S.)
- Rochester, NY
National Provider Identifier
1467744870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 500 Red Creek Dr
Suite 220
Rochester, NY 14623-4284 - Phone
- (585) 487-3480
- Fax
- (585) 334-6292
- NPI assigned
- May 4, 2011
- 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
500 Red Creek Dr
Suite 220
Rochester, NY 14623-4284
Mailing address
University of Rochester Medical Ctr
601 Elmwood Avenue- Box 668
Rochester, NY 14642-0001
Phone (585) 487-3480
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": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1467744870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ROCHESTER MEDICAL CTR",
"address_2": "601 ELMWOOD AVENUE- BOX 668",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-487-3480",
"fax_number": "585-334-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RED CREEK DR",
"address_2": "SUITE 220",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146234284",
"telephone_number": "585-487-3480",
"fax_number": "585-334-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CAROL",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "M.S., C.G.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.