KRISTEN WONG (NPI# 1477177939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477177939 |
Entity Type | Individual |
Full Name | KRISTEN WONG |
Credential | MS |
Practice Address |
81 N Mario Capecchi Dr Salt Lake City UT 84113-1125 |
Mailing Address |
2265 S State St Apt 350 Salt Lake City UT 84115-1412 |
Practice Telephone | 8012137763 |
Mailing Telephone | 8659249478 |
Enumeration Date | 2020-06-01 |
Last Update Date | 2020-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124521927 | Kristen Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-03-18 |
1477094787 | Kristen Wong | Nurse Practitioner | 11633 Hawthorne Blvd Ste 103, Hawthorne, CA 90250-2323 | 2017-03-20 |
1811315385 | Kristen Wong | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2014-04-02 |
1396095675 | Kristen Michelle Wong | Physician Assistant | 1850 S Azusa Ave, Suite 88, Hacienda Heights, CA 91745-6813 | 2012-09-14 |
1437350295 | Kristen Wong | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2007-05-30 |
Street Address |
81 N MARIO CAPECCHI DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922012251 | Jeffrey Marvin Dalley | Social Worker | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2006-07-29 |
1255946588 | Sarah Elizabeth Roberts | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-14 |
1144835885 | Rachel Coffey | Social Worker | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-10 |
1457965865 | Mallory Caitlin Kidwell | Clinic/Center | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-02 |
1063021699 | Sara Stevenson | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-29 |
1780292318 | Katherine Ruesch | Nurse Practitioner | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-20 |
1124646062 | Nathaniel Edward Hayward | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-07 |
1780209544 | Paul Clark Bluth | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-06-08 |
1891316170 | Brianna Dougall | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
1184245441 | Diamond Radivoyevich | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
Find all providers in zip 84113 |
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 |
---|---|---|---|---|
1558915033 | Andrea Joann Stoddard | Genetic Counselor, MS | 500 Foothill Dr # 10p11, Salt Lake City, UT 84148-0001 | 2019-08-01 |
1740768241 | Dana Lin Jarvis | Genetic Counselor, MS | 615 S Arapeen Dr Ste 212, Salt Lake City, UT 84108-1267 | 2018-08-06 |
1871070094 | Nina Camille Hann | Genetic Counselor, MS | 615 Arapeen Drive Ste 212, Office 2a04, Salt Lake City, UT 84148-1267 | 2018-07-20 |
1053860932 | Audrey Rutz | Genetic Counselor, MS | Division Pediatric Genetics, 50 North Mario Capecchi Drive, Salt Lake City, UT 84132-0001 | 2016-10-03 |
1538531199 | Cathryn Koptiuch | Genetic Counselor, MS | 2000 Circle of Hope Dr Rm 1148, Salt Lake City, UT 84112-5550 | 2015-10-22 |
1992144356 | Lauren Rose Eimers | Genetic Counselor, MS | 50 N Medical Dr Rm 2165, Salt Lake City, UT 84132-1204 | 2013-06-19 |
1841553344 | Dawn Mcgee | Genetic Counselor, MS | 1861 E 1700 S, Salt Lake City, UT 84108-2932 | 2012-06-19 |
1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
1518245158 | Renee Anne Rider | Genetic Counselor, MS | Dept of Veteran Affairs Genomic Medicine, 500 Foothill Drive (151z), Salt Lake City, UT 84148-0001 | 2011-08-01 |
1861714727 | Amanda Dawn Gammon | Genetic Counselor, MS | 2000 Circle of Hope Dr Rm 4158, Salt Lake City, UT 84112-5550 | 2010-02-19 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84113 |
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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.