AMANDA BACK


Address: 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563
Phone: 2673310481

AMANDA BACK (NPI# 1295340941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295340941
Entity Type Individual
Full Name AMANDA BACK
Credential MS, CGC
Practice Address 1100 Walnut St Ste 602
Philadelphia
PA 19107-5563
Mailing Address 253 S 16th St Apt 7
Philadelphia
PA 19102-3350
Practice Telephone 2673310481
Mailing Telephone 8649054420
Enumeration Date 2020-09-10
Last Update Date 2020-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS Other Service Providers

Other Providers AMANDA BACK

NPI Name Taxonomy Address Enumeration
1023509445 Amanda Back Behavior Technician 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 2018-05-21
1235340035 Amanda Back Speech-Language Pathologist 105 Daniel Dr, Danville, KY 40422-2527 2007-05-24

Office Location

Street Address 1100 WALNUT ST STE 602
City PHILADELPHIA
State PA
Zip Code 19107-5563

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NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
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1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154817534 Natalie Burrill Genetic Counselor, MS 3401 Civic Center Blvd # 6w59, Philadelphia, PA 19104-4319 2018-07-09
1679065643 Elyse Nicole Ryan Genetic Counselor, MS Genetic Diagnostic Laboratory, 3620 Hamilton Walk, Anatomy & Chemistry Bldg, Rm 415, Philadelphia, PA 19104 2018-06-05
1275023640 Nicolette Sookar Genetic Counselor, MS 3930 Chestnut St Fl 3, Philadelphia, PA 19104-3111 2018-05-11
1295187920 Cara Cacioppo Genetic Counselor, MS 3930 Chestnut St, Floor 3, Philadelphia, PA 19104-3111 2016-07-06
1174879571 Claire Alexis Clark Genetic Counselor, MS 1 S Penn Sq Ste 960, Philadelphia, PA 19107 2012-08-03
1811135114 Van Thanh Fadulu Genetic Counselor, MS 833 Chestnut East, Suite 1250, Philadelphia, PA 19107-4419 2009-01-26
1053573014 Jacquelyn Powers Genetic Counselor, MS 523 Pine St 1st Flr, Philadelphia, PA 19106-4102 2008-06-30
1760515423 Carrie D. Mckenna Genetic Counselor, MS Genzyme Genetics, 833 Chestnut Street, Suite 1250, Philadelphia, PA 19107 2007-03-13
1083742787 Matthew Clark Basham Genetic Counselor, MS 833 Chestnut St # 1035, Philadelphia, PA 19107-4414 2007-03-02
1992833297 Danielle Carrie Wagner Genetic Counselor, MS 1 S Penn Sq, Philadelphia, PA 19107-3400 2007-03-01
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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