Individual provider Active NPI

Emily Oddo, LCGC

  • Genetic Counselor (M.S.)
  • Santa Fe, NM
National Provider Identifier
1861117897
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC2022-041 Issued in NM
Practice address
4801 Beckner Rd Ste 2750
Santa Fe, NM 87507-3641
Phone
(505) 984-2560
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 GC2022-041 NM Primary

Addresses

Primary practice location

4801 Beckner Rd Ste 2750
Santa Fe, NM 87507-3641

Mailing address

955 Richards Ave Apt 3041
Santa Fe, NM 87507-6220
Phone (719) 371-7090

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

State licenses

LicenseStateTypeSpecialty
GC2022-041NMMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Perinatal Associates of New Mexico, LTD PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1861117897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RICHARDS AVE APT 3041",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076220",
            "telephone_number": "719-371-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BECKNER RD STE 2750",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073641",
            "telephone_number": "505-984-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDO",
        "first_name": "EMILY",
        "credential": "LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NM",
            "license": "GC2022-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.