Active NPI
Genexsure LLC
- Genetic Counselor (M.S.)
- Nashville, TN
National Provider Identifier
1780401190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Legal business name
- GENEXSURE LLC
- Practice address
- 2019A Galbraith Dr
Nashville, TN 37215-3406 - Phone
- (615) 933-6014
- NPI assigned
- Sep 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pradeep Rao
- Title
- Chief Product Officer
- Phone
- (615) 933-6014
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary | ||
| Clinical Genetics (M.D.) Physician | 207SG0201X |
Addresses
Primary practice location
2019A Galbraith Dr
Nashville, TN 37215-3406
Mailing address
6339 Charlotte Pike # 918
Nashville, TN 37209-2926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1780401190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6339 CHARLOTTE PIKE # 918",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372092926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019A GALBRAITH DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372153406",
"telephone_number": "615-933-6014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENEXSURE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "PRADEEP",
"authorized_official_title_or_position": "CHIEF PRODUCT OFFICER",
"authorized_official_telephone_number": "615-933-6014"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
},
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.