Active NPI
Colleen Wolf-Fisher Tsikerdanos, C.G.C.
- Genetic Counselor (M.S.)
- Parkville, MD
National Provider Identifier
1760024681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 9902 Maidbrook Rd
Parkville, MD 21234-1240 - Phone
- (410) 610-0980
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
9902 Maidbrook Rd
Parkville, MD 21234-1240
Mailing address
9902 Maidbrook Rd
Parkville, MD 21234-1240
Phone (410) 610-0980
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC001221 | Other | CA | GENETIC COUNSELING LICENSE |
| GC2019-014 | Other | NM | GENETIC COUNSELING LICENSE |
| GC202 | Other | KY | GENETIC COUNSELING LICENSE |
Other names 1
- Colleen Wolf Fisher
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | colleentsikerdanos@gene-screen.com | Direct |
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": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1760024681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 MAIDBROOK RD",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212341240",
"telephone_number": "410-610-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 MAIDBROOK RD",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212341240",
"telephone_number": "410-610-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIKERDANOS",
"first_name": "COLLEEN",
"middle_name": "WOLF-FISHER",
"name_prefix": "Mrs.",
"credential": "C.G.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENETIC COUNSELING LICENSE",
"identifier": "GC001221",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENETIC COUNSELING LICENSE",
"identifier": "GC2019-014",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENETIC COUNSELING LICENSE",
"identifier": "GC202",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "colleentsikerdanos@gene-screen.com",
"affiliation": "N",
"endpointDescription": "business/company email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9902 Maidbrook Rd",
"city": "Parkville",
"state": "MD",
"country_code": "US",
"postal_code": "212341240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "FISHER",
"middle_name": "WOLF",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.