Michelle Maxedon, MS, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC2014-008 Issued in NM

Practice address

201 Cedar St SE
Suite 405
Albuquerque, NM 87106-4917

Phone

(505) 764-9535

Fax

(505) 842-5645

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Perinatal Associates of New Mexico, LTD

  • Maternal & Fetal Medicine Physician
  • Albuquerque, NM
  • NPI 1376565952
  NPD (past)
• Perinatal Associates of New Mexico, LTD

  • Maternal & Fetal Medicine Physician
  • El Paso, TX
  • NPI 1982550554
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1922479914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE",
            "address_2": "SUITE 405",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064917",
            "telephone_number": "505-764-9535",
            "fax_number": "505-842-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE",
            "address_2": "SUITE 405",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064917",
            "telephone_number": "505-764-9535",
            "fax_number": "505-842-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEDON",
        "first_name": "MICHELLE",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NM",
            "license": "GC2014-008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Maus, RD
• Marcello Argeo Maviglia, MD,MPH
• Davita Mawulawde
• Maxcare, Inc.
• Annette M Maxedon, CFNP
• Jo A Maxey
• Maxgoal LLC
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.
• Maxim Healthcare Services, Inc.

• Genetic Counselor (M.S.) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Genetic Counselor (M.S.) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.