MRS. KELLY JEAN BENOLKIN ATHMAN


Address: 1900 Centracare Circle #2300, Centracare Clinic - Women's & Childrens, St Cloud, MN 56303-5000
Phone: 3206543655

MRS. KELLY JEAN BENOLKIN ATHMAN (NPI# 1356574610) 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) 1356574610
Entity Type Individual
Full Name MRS. KELLY JEAN BENOLKIN ATHMAN
Credential GENETIC COUNSELOR
Practice Address 1900 Centracare Circle #2300
Centracare Clinic - Women's & Childrens
St Cloud
MN 56303-5000
Mailing Address 420 Delaware Street Se
Mmc 485
Minneapolis
MN 55455
Practice Telephone 3206543655
Mailing Telephone 6122730688
Mailing Fax Number 6122730886
Enumeration Date 2009-09-02
Last Update Date 2012-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address 1900 CENTRACARE CIRCLE #2300
CENTRACARE CLINIC - WOMEN'S & CHILDRENS
City ST CLOUD
State MN
Zip Code 56303-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013908383 Jane Marie Suska Nurse Practitioner 1900 Centracare Circle #2300, Centracare Clinic Health Plaza Obstetrics and Womens He, St Cloud, MN 56303-5000 2005-11-04
1306173703 Dagny M. Oliver Advanced Practice Midwife 1900 Centracare Circle #2300, Centracare Clinic-women's & Childrens, St Cloud, MN 56303-5000 2009-11-06
1588646723 Joni Colleen Zehm-steffens Advanced Practice Midwife 1900 Centracare Circle #2300, Centracare Clinic Health Plaza Obstetrics and Women's H, St Cloud, MN 56303-5000 2005-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800463 Daniel P Lahr Radiologic Technologist St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 2020-08-07
1730798398 County of Stearns Case Management 705 Courthouse Square, St Cloud, MN 56303 2020-07-29
1669007126 Aflah Transportation LLC Non-emergency Medical Transport (VAN) 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 2020-03-05
1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
1740792761 Lisa Ann Horner Nurse Practitioner 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 2017-10-31
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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
1225341282 Amber Marie Peterson Genetic Counselor, MS 1900 Centra Care Circle, #1300, Centra Care Clinic Women's & Childrens/pediatrics, St Cloud, MN 56303-5000 2010-07-20
1649608043 Emily Marie Mayerhofer Genetic Counselor, MS 1900 Centracare Cir, 2375, St Cloud, MN 56303-5000 2013-10-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659998086 Allison Elizabeth Hentschell Genetic Counselor, MS 11850 Blackfoot St Nw Ste 230, Coon Rapids, MN 55433-2593 2020-07-01
1497371504 Jenna Deane Soukup Genetic Counselor, MS 3931 Louisiana Ave S Ste 315, St Louis Park, MN 55426-5000 2020-06-24
1639704794 Iman Erika Kashmola-perez Genetic Counselor, MS 606 24th Ave S Fl 4, Minneapolis, MN 55454-1455 2020-03-10
1093351454 Christine Koellner Genetic Counselor, MS 3109 Harbor Dr Se, Rochester, MN 55904-5925 2019-11-20
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265922082 Rachel Brite Saunders Genetic Counselor, MS 2545 Chicago Ave # Mdb17700, Minneapolis, MN 55404-4522 2018-05-16
1639615156 My Genetic Ally LLC Genetic Counselor, MS 602 N 1st St Apt 714, Minneapolis, MN 55401-2251 2017-01-07
1902353352 Laura Marie Haugo Genetic Counselor, MS 3931 Louisiana Ave S Ste E111, Saint Louis Park, MN 55426-5000 2016-09-01
1952765133 Hallee Christine Adamsheck Genetic Counselor, MS 800 E 28th St Ste Mr 39105, Minneapolis, MN 55407-3723 2016-04-13
1689062317 Kimberly Schahl Genetic Counselor, MS 1801 13th Ave Ne, Kasson, MN 55944-9437 2015-01-05
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Competitor

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City ST CLOUD
Zip Code 56303

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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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