Individual provider Active NPI

Jeanne Ann Devine, MS, CGC

  • Genetic Counselor (M.S.)
  • Gaithersburg, MD
National Provider Identifier
1750379616
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
Practice address
207 Perry Pkwy
Gaithersburg, MD 20877-2142
Phone
(833) 436-3832
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 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.) 170300000X Primary

Addresses

Primary practice location

207 Perry Pkwy
Gaithersburg, MD 20877-2142

Mailing address

5 Robinson St
Fishkill, NY 12524-1805
Phone (845) 896-0422

Other practice location 1

234 E 149th St
Suite 5D Room 205
Bronx, NY 10451-5504
Phone (718) 579-5295

Other practice location 2

5 Robinson St
Fishkill, NY 12524-1805
Phone (845) 896-0422

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1750379616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROBINSON ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241805",
            "telephone_number": "845-896-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PERRY PKWY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772142",
            "telephone_number": "833-436-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_2": "Suite 5D Room 205",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5295",
            "fax_number": "718-579-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Robinson St",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125241805",
            "country_code": "US",
            "telephone_number": "845-896-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JEANNE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.