Individual provider Active NPI

Chinmayee Bhimarao Nagaraj, CGC

  • Genetic Counselor (M.S.)
  • Cincinnati, OH
National Provider Identifier
1467824730
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
70.000118 Issued in OH
Practice address
3333 Burnet Ave # Mlc4006
Cincinnati, OH 45229-3026
Phone
(513) 636-4760
Fax
(513) 636-7297
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 70.000118 OH Primary

Addresses

Primary practice location

3333 Burnet Ave # Mlc4006
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave # Mlc4006
Cincinnati, OH 45229-3026
Phone (513) 636-4760

Other practice location 1

13100 Foxridge Ln
Apt H
Blacksburg, VA 24060
Phone (513) 636-6779

Other practice location 2

13100 Foxridge Ln
Apt H
Blacksburg, VA 24060
Phone (513) 636-6779

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

State licenses

LicenseStateTypeSpecialty
70.000118OHMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1467824730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC4006",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4760",
            "fax_number": "513-636-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE # MLC4006",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4760",
            "fax_number": "513-636-7297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 Foxridge Ln",
            "address_2": "Apt H",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "24060",
            "country_code": "US",
            "telephone_number": "513-636-6779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13100 Foxridge Ln",
            "address_2": "Apt H",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "24060",
            "country_code": "US",
            "telephone_number": "513-636-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHIMARAO NAGARAJ",
        "first_name": "CHINMAYEE",
        "name_prefix": "Ms.",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OH",
            "license": "70.000118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.