Individual provider Active NPI

Madeline Deloria, MS, CGC

  • Genetic Counselor (M.S.)
  • Austin, TX
National Provider Identifier
1972232817
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC001189 Issued in CA
Practice address
704 Cumberland Rd # 2
Austin, TX 78704-6242
Phone
(415) 305-9454
NPI assigned
Jun 7, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 25MJ00053600 NJ
Genetic Counselor (M.S.) 170300000X 0292 SD
Genetic Counselor (M.S.) 170300000X 12072723-3601 UT
Genetic Counselor (M.S.) 170300000X 94 AL
Genetic Counselor (M.S.) 170300000X 266 NE
Genetic Counselor (M.S.) 170300000X 0240 ND
Genetic Counselor (M.S.) 170300000X GC000721 PA
Genetic Counselor (M.S.) 170300000X GT61073601 WA
Genetic Counselor (M.S.) 170300000X GEN-255 ID
Genetic Counselor (M.S.) 170300000X LCG-0163 AR
Genetic Counselor (M.S.) 170300000X 1411 MN
Genetic Counselor (M.S.) 170300000X 363 CT
Genetic Counselor (M.S.) 170300000X 0414 OK
Genetic Counselor (M.S.) 170300000X 325656 LA
Genetic Counselor (M.S.) 170300000X GC001189 CA Primary

Addresses

Primary practice location

704 Cumberland Rd # 2
Austin, TX 78704-6242

Mailing address

704 Cumberland Rd # 2
Austin, TX 78704-6242
Phone (415) 305-9454

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LCG-0163ARMDGenetic Counselor (M.S.)
GC001189CAMDGenetic Counselor (M.S.)
GEN-255IDMDGenetic Counselor (M.S.)
325656LAMDGenetic Counselor (M.S.)
1411MNMDGenetic Counselor (M.S.)
0240NDMDGenetic Counselor (M.S.)
25MJ00053600NJMDGenetic Counselor (M.S.)
0414OKMDGenetic Counselor (M.S.)
GC000721PAMDGenetic Counselor (M.S.)
12072723-3601UTMDGenetic Counselor (M.S.)
GT61073601WAMDGenetic Counselor (M.S.)
94ALMDAudiologist-Hearing Aid Fitter
0292SDMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1972232817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CUMBERLAND RD # 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046242",
            "telephone_number": "415-305-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CUMBERLAND RD # 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046242",
            "telephone_number": "415-305-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORIA",
        "first_name": "MADELINE",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NJ",
            "license": "25MJ00053600",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "SD",
            "license": "0292",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "12072723-3601",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "AL",
            "license": "94",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NE",
            "license": "266",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "ND",
            "license": "0240",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "PA",
            "license": "GC000721",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "GT61073601",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "ID",
            "license": "GEN-255",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "AR",
            "license": "LCG-0163",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MN",
            "license": "1411",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CT",
            "license": "363",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OK",
            "license": "0414",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "LA",
            "license": "325656",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.