Ashley Marie Deckman, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

3435 W Broadway Ave
Suite 1135
Robbinsdale, MN 55422-2969

Phone

(763) 520-1422

Fax

(763) 520-5875

NPI assigned

Apr 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Marie Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1508157652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W BROADWAY AVE",
            "address_2": "SUITE 1135",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222969",
            "telephone_number": "763-520-1422",
            "fax_number": "763-520-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W BROADWAY AVE",
            "address_2": "SUITE 1135",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222969",
            "telephone_number": "763-520-1422",
            "fax_number": "763-520-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKMAN",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "PETERSON",
            "middle_name": "MARIE",
            "credential": "CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Mae Daniels
• Whitney Davidson, PT, DPT
• Brian J De Michaelis, MD
• Daniela G Dean, RN, CNP
• Stefan L Deboel, MD
• Jessica Deforrest, MA, ATC
• Jennifer Mina Deisler, APRN, CNP
• Lee Warren Dekrey, DMD
• Bradly Delong, LPCC
• Nicole Des Marais

• Genetic Counselor (M.S.) in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Genetic Counselor (M.S.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.