Individual provider Active NPI

Ivy S Leight, M.S.

  • Genetic Counselor (M.S.)
  • Santa Fe, NM
National Provider Identifier
1508168642
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
2000 Vivigen Way
Santa Fe, NM 87505-5600
Phone
(800) 848-4436
Fax
(505) 438-2269
NPI assigned
Nov 22, 2010
Last updated
May 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 Primary

Addresses

Primary practice location

2000 Vivigen Way
Santa Fe, NM 87505-5600

Mailing address

2000 Vivigen Way
Santa Fe, NM 87505-5600
Phone (800) 848-4436

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1508168642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VIVIGEN WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055600",
            "telephone_number": "800-848-4436",
            "fax_number": "505-438-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VIVIGEN WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055600",
            "telephone_number": "800-848-4436",
            "fax_number": "505-438-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHT",
        "first_name": "IVY",
        "middle_name": "S",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.