MS. THERESA ANN BOOMER (NPI# 1205111499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205111499 |
Entity Type | Individual |
Full Name | MS. THERESA ANN BOOMER |
Other Name | MS. THERESA ANN HOPKINS |
Credential | MS |
Practice Address |
4 Pine Ridge Cir Clancy MT 59634-9760 |
Practice Telephone | 4064220411 |
Mailing Telephone | 4064220411 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 170300000X | Genetic Counselor, MS | GC0000000027 | TN | Other Service Providers |
Y | 170300000X | Genetic Counselor, MS | 246.000083 | IL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | AMERICAN BOARD OF GENETIC COUNELING CERTIFICATION | 2002038 | 01 |
IL | LICENSED GENETIC COUNSELOR | 246.000083 | 01 |
TN | LICENSED GENETIC COUNSELOR | GC0000000027 | 01 |
Street Address |
4 PINE RIDGE CIR |
City | CLANCY |
State | MT |
Zip Code | 59634-9760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710494083 | Angie Cristin Dailey | Speech-Language Pathologist | Pmb 2142, 1 Jackson Creek Rd, Clancy, MT 59634 | 2018-01-08 |
1023202520 | County of Jefferson School District #1 | Local Education Agency (LEA) | 18 Clancy Creek Rd, Clancy, MT 59634 | 2007-08-29 |
1205048121 | Big Sky Home Care Services L.L.C. | Home Health | 1 Jackson Creek Road, Pmb 2197, Montana City, MT 59634 | 2007-05-04 |
1811907884 | Derek James Williams | Family Medicine | 204 Winslow Road, Clancy, MT 59634 | 2006-08-09 |
1619096369 | Prickly Pear Coop - Clancy | Local Education Agency (LEA) | 18 Clancy Creek Road, Clancy, MT 59634-0000 | 2007-03-27 |
1205970886 | Benjamin D Swoboda | Anesthesiology | 2475 Broadway St, Helena, MT 59634-4928 | 2007-02-16 |
1780088088 | Rhonda Guay | Specialist | 1 Valley View Dr, Suite 102, Montana City, MT 59634-9202 | 2014-10-15 |
1366061913 | Amelia Tavares | Dietitian, Registered | 1 Valley View Dr Ste 104, Montana City, MT 59634-9203 | 2020-04-14 |
1215053301 | Carol Schmid Mcevoy | Counselor | 70 Hanging Tree Gulch, Clancy, MT 59634-9511 | 2007-03-21 |
1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
Find all providers in zip 59634 |
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 |
---|---|---|---|---|
1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
1538504261 | Tessa R Pitman | Genetic Counselor, MS | 1 Tideway Dr, Whitefish, MT 59937-3236 | 2013-05-08 |
1841556164 | Karen Ep Stears | Genetic Counselor, MS | 1315 Golden Valley Circle, Billings, MT 59102 | 2012-04-11 |
1598828162 | Stephen G Lohning | Genetic Counselor, MS | 126 E Broadway St Ste 11, Missoula, MT 59802-4511 | 2006-12-18 |
1760407993 | Sara Anne Adams | Genetic Counselor, MS | 17017 Hwy 93, Arlee, MT 59821 | 2006-07-12 |
1619966595 | Elizabeth Rose Smith | Genetic Counselor, MS | 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 | 2005-10-13 |
1851866552 | Tiana Pallister | Genetic Counselor, MS | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-10-09 |
1194118232 | Jaclyn Anne Haven | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2015-03-13 |
1013280940 | Christina Marie Hawbaker | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2012-02-23 |
1336295872 | Katherine Berry | Genetic Counselor, MS | 2755 Colonial Dr, Helena, MT 59601-4926 | 2007-01-26 |
Find all providers with the same taxonomy |
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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.