AUDREY SAMUELSON (NPI# 1285241208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285241208 |
| Entity Type | Individual |
| Full Name | AUDREY SAMUELSON |
| Credential | MS, CGC |
| Practice Address |
8402 Harcourt Rd Ste 300 Indianapolis IN 46260-2052 |
| Practice Telephone | 3173388983 |
| Practice Fax Number | 3173387154 |
| Mailing Telephone | 3173388983 |
| Mailing Fax Number | 3173387154 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 74000352A | IN | Other Service Providers |
| Street Address |
8402 HARCOURT RD STE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749772 | Lanette C Brown-jones | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2005-12-01 |
| 1467077578 | Jori Danae Matushek | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2020-06-15 |
| 1508347907 | Caroline Emily Estes | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2018-08-23 |
| 1023461084 | Benjamin Commons | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-07-14 |
| 1417315029 | Afifa Elizabeth Irani | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-02-10 |
| 1396171674 | Lauren Bogue | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-09-19 |
| 1710220744 | Eric Kirtwei Chang | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-03-27 |
| 1750675518 | Jason L Buckner | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2011-06-08 |
| 1902017874 | Andrea Kathleen Goldyn | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2007-05-24 |
| 1992864136 | Mona A Zawaideh | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1023626306 | Alexis Ann Mcentire | Genetic Counselor, MS | 1002 Wishard Blvd Ste 1100, Indianapolis, IN 46202-2872 | 2020-07-22 |
| 1235755711 | Kahlen Darr | Genetic Counselor, MS | 975 W Walnut St Ste 130, Indianapolis, IN 46202-5181 | 2020-06-22 |
| 1649895285 | Kelly Jean Schmit | Genetic Counselor, MS | 410 W 10th St # 4048, Indianapolis, IN 46202-3010 | 2020-06-09 |
| 1922622893 | Christina Bouril | Genetic Counselor, MS | 975 W Walnut St # Ib130, Indianapolis, IN 46202-5181 | 2020-06-05 |
| 1104440304 | Lauren Frank | Genetic Counselor, MS | 575 Riley Hospital Dr Ste 4300, Indianapolis, IN 46202-5272 | 2020-06-03 |
| 1326690140 | Malia Rumbaugh | Genetic Counselor, MS | 410 W 10th St # 4003, Indianapolis, IN 46202-3010 | 2019-07-11 |
| 1013570977 | Rebecca Elaine Baud | Genetic Counselor, MS | 550 University Blvd Ste 5001, Indianapolis, IN 46202-5149 | 2019-04-17 |
| 1063907491 | Allison Schartman | Genetic Counselor, MS | 550 University Blvd Ste 2405, Indianapolis, IN 46202-5149 | 2018-06-27 |
| 1396265401 | Courtney Schroeder | Genetic Counselor, MS | 550 University Blvd # 5501, Indianapolis, IN 46202-5149 | 2017-06-21 |
| 1235502345 | Claire Ellen Harwood | Genetic Counselor, MS | 8402 Harcourt Rd Ste 324, Indianapolis, IN 46260-2052 | 2015-11-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.