Individual provider Active NPI

Mary Grace Roden, MS

  • Genetic Counselor (M.S.)
  • Dallas, TX
National Provider Identifier
1528798964
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
2201 Inwood Rd
Dallas, TX 75235-7320
Phone
(214) 645-2563
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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.)Group: 193400000X SINGLE SPECIALTY GROUP 170300000X Primary

Addresses

Primary practice location

2201 Inwood Rd
Dallas, TX 75235-7320

Mailing address

5201 Amesbury Dr Apt 432
Dallas, TX 75206-4335
Phone (256) 590-6206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Marygrace.roden@utsouthwestern.edu

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1528798964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 AMESBURY DR APT 432",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064335",
            "telephone_number": "256-590-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357320",
            "telephone_number": "214-645-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEN",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marygrace.roden@utsouthwestern.edu",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "2201 Inwood Rd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752357320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.