Individual provider Active NPI

Michelle Hackbardt, CGC

  • Genetic Counselor (M.S.)
  • Escondido, CA
National Provider Identifier
1861852675
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000798 Issued in CA
Practice address
1975 Woodland Valley GLN
Escondido, CA 92026-3836
Phone
(760) 522-5681
Fax
(714) 456-5330
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 GC000798 CA Primary

Addresses

Primary practice location

1975 Woodland Valley GLN
Escondido, CA 92026-3836

Mailing address

1975 Woodland Valley GLN
Escondido, CA 92026-3836
Phone (760) 522-5681

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
GC000798CAMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1861852675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 WOODLAND VALLEY GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263836",
            "telephone_number": "760-522-5681",
            "fax_number": "714-456-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 WOODLAND VALLEY GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263836",
            "telephone_number": "760-522-5681",
            "fax_number": "714-456-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKBARDT",
        "first_name": "MICHELLE",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.