Individual provider Active NPI

Gloria Thompson Haskell, PHD, FACMG

  • Clinical Molecular Genetics Physician
  • Burlington, NC
National Provider Identifier
1528878469
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Molecular Genetics PhysicianTaxonomy code 207SG0203X
License
2019115 Issued in NC
Practice address
1440 York CT
Burlington, NC 27215-3394
Phone
(336) 436-1275
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X 2017093 NC
Clinical Molecular Genetics Physician 207SG0203X 2019115 NC Primary

Addresses

Primary practice location

1440 York CT
Burlington, NC 27215-3394

Mailing address

1440 York CT
Burlington, NC 27215-3394
Phone (336) 436-1275

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2017093NCMDClinical Cytogenetics Physician
2019115NCMDClinical Molecular Genetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1528878469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 YORK CT",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153394",
            "telephone_number": "336-436-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 YORK CT",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153394",
            "telephone_number": "336-436-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKELL",
        "first_name": "GLORIA",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "PHD, FACMG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "NC",
            "license": "2017093",
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "NC",
            "license": "2019115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.