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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AMERICAN BOARD OF GENETIC COUNSELING | 12471 | 01 |
Street Address |
1912 TW ALEXANDER DR |
City | RESEARCH TRIANGLE PARK |
State | NC |
Zip Code | 27709-0007 |
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 |
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 Code | 170300000X |
Grouping | Other Service Providers |
Classification | Genetic Counselor, MS |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124101688 | Tracy Futch | Genetic Counselor, MS | 1912 Alexander Drive, Genetic Services, Research Triangle Park, NC 27709 | 2006-10-20 |
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 |
City | RESEARCH TRIANGLE PARK |
Zip Code | 27709 |
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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.