Individual provider Active NPI

Alyssa Lauren Schickedanz, CGC

  • Genetic Counselor (M.S.)
  • Denver, CO
National Provider Identifier
1588117337
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
790 Delaware St
Denver, CO 80204-4532
Phone
(303) 602-9064
Fax
(303) 602-9734
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 CO Primary

Addresses

Primary practice location

790 Delaware St
Denver, CO 80204-4532

Mailing address

790 Delaware St
Denver, CO 80204-4532
Phone (303) 602-9064

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

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1588117337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044532",
            "telephone_number": "303-602-9064",
            "fax_number": "303-602-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044532",
            "telephone_number": "303-602-9064",
            "fax_number": "303-602-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKEDANZ",
        "first_name": "ALYSSA",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.