KRISTEN FOWLES GODDARD (NPI# 1215256763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215256763 |
| Entity Type | Individual |
| Full Name | KRISTEN FOWLES GODDARD |
| Credential | CADC |
| Practice Address |
897 West Main Street Dover-foxcroft ME 04426 |
| Mailing Address |
69 High St Dover Foxcroft ME 04426-1270 |
| Practice Telephone | 2075644110 |
| Practice Fax Number | 2075644478 |
| Mailing Telephone | 2075644110 |
| Mailing Fax Number | 2075644478 |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | CAC3851 | ME | Other Service Providers |
| Street Address |
897 WEST MAIN STREET |
| City | DOVER-FOXCROFT |
| State | ME |
| Zip Code | 04426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619343068 | Whitney Gould | Dietitian, Registered | 897 West Main Street, Mayo Regional Hopsital, Dover-foxcroft, ME 04426 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
| 1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
| 1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
| 1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| 1033530209 | Sarah E. Simerly | Nurse Practitioner | 897 W Main St, Dover Foxcroft, ME 04426 | 2013-12-13 |
| Find all providers in zip 04426 | ||||
| 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 |
|---|---|---|---|---|
| 1821017500 | Valerie Catherine Banks | Genetic Counselor, MS | 887 Congress Street, Suite 320, Portland, ME 04102 | 2006-07-19 |
| 1851904866 | Ashley Kennes | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2020-08-28 |
| 1407471121 | Hannah Novak | Genetic Counselor, MS | 100 Campus Dr Unit 108, Scarborough, ME 04074-7172 | 2020-06-09 |
| 1497305767 | Lindsey Kelley | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2019-09-18 |
| 1881180339 | Stephanie Wiryaman Sharp | Genetic Counselor, MS | 100 Campus Drive, Suite 121, Scarborough, ME 04074 | 2018-07-09 |
| 1083162481 | Kathlene Gravelin | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2016-09-14 |
| 1760875215 | Jeryl Erickson | Genetic Counselor, MS | 100 Campus Dr Unit 121, Scarborough, ME 04074-7172 | 2015-03-09 |
| 1851781710 | Katherine Anne Lafferty | Genetic Counselor, MS | 100 Campus Dr, Suite 121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1700276581 | Amanda Lamb | Genetic Counselor, MS | 100 Campus Dr, Suite #121, Scarborough, ME 04074-7171 | 2015-01-30 |
| 1932335940 | Marilyn Joy Erickson | Genetic Counselor, MS | 417 State Street, Suite 305, Bangor, ME 04401 | 2009-06-04 |
| Find all providers with the same taxonomy | ||||
| City | DOVER-FOXCROFT |
| Zip Code | 04426 |
Please comment or provide details below to improve the information on KRISTEN FOWLES GODDARD.
| 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.