CHANTAL NICOLE KELLY


Address: 1912 Tw Alexander Dr, Research Triangle Park, NC 27709-0007
Phone: 8005330567

CHANTAL NICOLE KELLY (NPI# 1023334430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023334430
Entity Type Individual
Full Name CHANTAL NICOLE KELLY
Credential MS, CGC
Practice Address 1912 Tw Alexander Dr
Research Triangle Park
NC 27709-0007
Mailing Address 1912 Tw Alexander Drive
Center for Molecular Biology and Pathology
Research Triangle Park
NC 27709-0005
Practice Telephone 8005330567
Practice Fax Number 9193617798
Mailing Telephone 8005330567
Mailing Fax Number 9193617798
Enumeration Date 2010-04-09
Last Update Date 2010-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AMERICAN BOARD OF GENETIC COUNSELING 12471 01

Office Location

Street Address 1912 TW ALEXANDER DR
City RESEARCH TRIANGLE PARK
State NC
Zip Code 27709-0007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750368700 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1912 Tw Alexander Dr, Research Triangle Park, NC 27709-0150 2005-12-29
1497938427 Bryan Kurtis Mccune Pathology 1912 Tw Alexander Dr, Research Triangle Park, NC 27709-3973 2007-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952329 Mary Louise Health & Home Care Services, LLC In Home Supportive Care 600 Park Offices Drive Suite 300, 600 Park Offices Drive Suite 300, Durham, NC 27709 2020-08-13
1447774641 Metamark Genetics, Inc Clinical Medical Laboratory 1912 Tw Alexander Drive Rooms 243 & 250, Durham, NC 27709 2017-07-29
1578918116 Wellcareamerica LLC Clinic/Center 800 Park Offices Dr, Suite 3303, Durham, NC 27709 2016-05-02
1003285164 Global Mental Health and Substance Abuse Agency Community/Behavioral Health 65 Tw Alexander Drive, Durham, NC 27709 2015-09-18
1811363674 Unc Physicians Network, LLC Non-Pharmacy Dispensing Site 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 2015-08-17
1992073431 Elena Atchley Nurse Practitioner 100 New Millennium Way, Durham, NC 27709 2011-12-12
1487957593 Excel Home Health Inc Home Health 4310 South Miami Blvd, Research Triangle Park, NC 27709 2010-12-10
1225270606 Lixia Liu Pathology 1912 Alexander Dr., Rtp, NC 27709 2009-03-31
1134378045 Eileen Wang Dds Pllc Dentist 4300 Garret Road, Suite D, Durham, NC 27709 2008-09-16
1194900142 National Institutes of Health Clinical Medical Laboratory 79 T.w. Alexander Dr, Room 3444c, Research Triangle Park, NC 27709 2008-01-08
Find all providers in zip 27709

Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124101688 Tracy Futch Genetic Counselor, MS 1912 Alexander Drive, Genetic Services, Research Triangle Park, NC 27709 2006-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326657446 Haley Hill Genetic Counselor, MS 520 N Elam Ave Ste B, Greensboro, NC 27403-1127 2020-07-24
1184232407 Christina Lamaire Genetic Counselor, MS Medical Center Boulevard Occc 4th Floor, Winston Salem, NC 27157-0001 2020-07-22
1568093979 Yezmin Lucia Perilla-young Genetic Counselor, MS 101 Manning Drive Genetics and Metabolism, Chapel Hill, NC 27599-0001 2020-02-04
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1285297739 Patricia Anne Thompson Genetic Counselor, MS 600 New Waverly Pl Ste 305, Cary, NC 27518-7404 2019-04-19
1245725753 Rachel Goldberg Genetic Counselor, MS 1 Medical Center Blvd Department of Medical Genetics, Winston Salem, NC 27157-0001 2018-06-27
1740703099 Jinny Eun Genetic Counselor, MS 20 Duke Medicine Cir Ste 2-2, Durham, NC 27710-2000 2017-07-19
1427588243 Mariah L Gleason Genetic Counselor, MS 1021 Morehead Medical Dr Ste 2300, Charlotte, NC 28204-2991 2017-06-14
1700334984 Rachel Veazey Genetic Counselor, MS 101 Manning Dr Fl 1, Chapel Hill, NC 27514 2016-09-15
1710434709 Mary Katherine Garbarini Genetic Counselor, MS Department of Genetics, Campus Box 7264, Chapel Hill, NC 27599-0001 2016-09-07
Find all providers with the same taxonomy

Competitor

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City RESEARCH TRIANGLE PARK
Zip Code 27709

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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