Penelope Ann Roberts, M.S., C.G.C

Primary specialty

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

License

GC054 Issued in MA

Practice address

55 Fruit St
Yawkey Center for Outpatient Care/Suite 4F
Boston, MA 02114-2621

Phone

(617) 724-2229

Fax

(617) 724-9069

NPI assigned

Jul 10, 2010

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

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1619289345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY CENTER FOR OUTPATIENT CARE/SUITE 4F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-643-4519",
            "fax_number": "617-724-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY CENTER FOR OUTPATIENT CARE/SUITE 4F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-2229",
            "fax_number": "617-724-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "PENELOPE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S., C.G.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Blake Roberts
• Maudie Roberts
• Michelle Geany Roberts, PA-C
• Mona D Roberts, D.O.
• Nicholas Roberts
• Russel Joseph Roberts, PHARM.D., FCCM, BCCC
• Sherry Patricia Roberts, RD, CDE
• Stephanie Roberts, M.D.
• Stephanie McMurrich Roberts, PHD
• Susanne M Roberts, MD

• Genetic Counselor (M.S.) in Boston, MA
• Providers in Boston, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.