Divya Shah Baxi, MS, CGC

Primary specialty

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

License

246-000176 Issued in IL

Practice address

833 Chestnut St Ste 1250
Philadelphia, PA 19107-4419

Phone

(215) 351-2331

NPI assigned

Mar 11, 2014

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

• Miss Divya Shah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578989802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 BRONX AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771714",
            "telephone_number": "408-477-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 1250",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074419",
            "telephone_number": "215-351-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024495",
            "country_code": "US",
            "telephone_number": "312-448-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622005",
            "country_code": "US",
            "telephone_number": "847-400-1515",
            "fax_number": "847-400-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAXI",
        "first_name": "DIVYA",
        "middle_name": "SHAH",
        "name_prefix": "Mrs.",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246-000176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "SHAH",
            "prefix": "MISS",
            "credential": "MS, CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole T. Bavuso, MD
• Salman Bawany, M.D.
• Gunjan Baweja, M.D.
• Carly Goodman Bax
• Christina Bax
• Fairy Baxi
• Chiara Baxt, PH.D.
• William Baxt, MD
• Adalena Baxter, MS, LBS
• Alexis Baxter

• Genetic Counselor (M.S.) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Genetic Counselor (M.S.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.