Active NPI
Jessica Albert, PHD
- Clinical Biochemical Genetics Physician
- Ellicott City, MD
National Provider Identifier
1770906943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Biochemical Genetics Physician
- License
- 2015007
- Practice address
- 3762 Chateau Ridge CT
Ellicott City, MD 21042-4812 - Phone
- (301) 442-6816
- NPI assigned
- Jan 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Biochemical Genetics Physician | 207SG0202X | 2015007 | MD | Primary |
| Clinical Molecular Genetics Physician | 207SG0203X | 2017008 | MD |
Addresses
Primary practice location
3762 Chateau Ridge CT
Ellicott City, MD 21042-4812
Mailing address
3762 Chateau Ridge CT
Ellicott City, MD 21042-4812
Phone (301) 442-6816
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015007 | MD | MD | Clinical Biochemical Genetics Physician |
| 2017008 | MD | MD | Clinical Molecular Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1770906943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 CHATEAU RIDGE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424812",
"telephone_number": "301-442-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 CHATEAU RIDGE CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424812",
"telephone_number": "301-442-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-24",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "MD",
"license": "2015007",
"primary": true
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "MD",
"license": "2017008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.