SUPRAJA PRAKASH (NPI# 1023638582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023638582 |
| Entity Type | Individual |
| Full Name | SUPRAJA PRAKASH |
| Credential | MS, CGC |
| Practice Address |
1920 E Cambridge Ave. Rosenberg Bldg., Suite 304 Phoenix AZ 85006 |
| Mailing Address |
1550 E Campbell Ave Apt 4032 Phoenix AZ 85014-4275 |
| Practice Telephone | 6029335503 |
| Mailing Telephone | 9135538720 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| 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 |
| Street Address |
1920 E CAMBRIDGE AVE. ROSENBERG BLDG., SUITE 304 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| 1265940415 | Sarah Blankenheimer | Registered Nurse | 1300 N 12th St Ste 612, Phoenix, AZ 85006 | 2018-01-22 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1699951301 | Perinatal Care Associates | Genetic Counselor, MS | 500 W Thomas Rd Ste 870, Phoenix, AZ 85013-4218 | 2008-01-11 |
| 1841818382 | Allison Mary Abbott | Genetic Counselor, MS | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006-1464 | 2020-07-10 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1518486216 | Brianna Pruniski | Genetic Counselor, MS | 1920 E Cambridge Ave, Rosenberg Children's Medical Plaza, Suite 304, Phoenix, AZ 85006 | 2017-09-13 |
| 1114463122 | Justin Gasparini | Genetic Counselor, MS | 1111 E Mcdowell Rd, Radiation Oncology, Phoenix, AZ 85006-2612 | 2017-01-13 |
| 1407211121 | Jennifer Siettmann | Genetic Counselor, MS | 1111 E Mcdowell Rd, Radiation Oncology, Phoenix, AZ 85006-2612 | 2015-12-22 |
| 1205276300 | Kimberly Brussow | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2013-07-03 |
| 1518197870 | Brittney Dawn Kraeer | Genetic Counselor, MS | 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 | 2009-07-21 |
| 1356330195 | Ashley Suzanne Ryan | Genetic Counselor, MS | 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 | 2005-10-14 |
| 1164411039 | Sarah Cox | Genetic Counselor, MS | 222 W Thomas Rd, Ste. 304, Phoenix, AZ 85013-4419 | 2005-10-13 |
| Find all providers in PHOENIX | ||||
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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.