MRS. KRISTIN A THEOBALD (NPI# 1508855495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508855495 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN A THEOBALD |
| Credential | MS, CGC |
| Practice Address |
1 Medical Village Dr Maternal Fetal and Genetic Counseling Center Edgewood KY 41017-3403 |
| Mailing Address |
6468 Oldbarn Ct Cincinnati OH 45243-2344 |
| Practice Telephone | 8593015396 |
| Practice Fax Number | 8593012566 |
| Mailing Telephone | 5133047465 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2013-06-19 |
| 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 |
| Street Address |
1 MEDICAL VILLAGE DR MATERNAL FETAL AND GENETIC COUNSELING CENTER |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1073867479 | Dawn Holladay | Genetic Counselor, MS | 20 Medical Village Dr Ste 212, Edgewood, KY 41017-5405 | 2012-11-07 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1700295383 | Justine Snyder | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2014-08-07 |
| 1326457144 | Jaime Grund | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529553 | Rebekah Lynne Waikel | Genetic Counselor, MS | 125 E Maxwell St Ste 200, Lexington, KY 40508-2678 | 2020-05-16 |
| 1093336067 | Keith Hahto | Genetic Counselor, MS | 3999 Dutchmans Ln Ste 1a, Louisville, KY 40207-4741 | 2020-04-30 |
| 1952875882 | Natasha Combs | Genetic Counselor, MS | 125 E Maxwell St Ste 130, Lexington, KY 40508-2678 | 2019-01-14 |
| 1205119575 | Jessica K. Pack | Genetic Counselor, MS | 4330 Glenview Avenue, #111, Glenview, KY 40025-0111 | 2011-09-23 |
| 1538449343 | Elizabeth Ann Reilly Hays | Genetic Counselor, MS | 3470 Blazer Pkwy Ste 200, Lexington, KY 40509-1887 | 2011-08-24 |
| 1629686977 | Kennedy Paige Richardson | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-07-22 |
| 1598383408 | Carlee Michele Grubbs | Genetic Counselor, MS | 234 E Gray St, Louisville, KY 40202-1900 | 2020-07-07 |
| 1104448927 | Daniel Winn Serber | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-05-14 |
| 1447809074 | Bethany Kelly | Genetic Counselor, MS | 3470 Blazer Pkwy Ste 200, Lexington, KY 40509-1887 | 2019-09-06 |
| 1295380137 | Katherine Joanne Augustaitis | Genetic Counselor, MS | 800 Rose St, Lexington, KY 40536-7001 | 2019-08-07 |
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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.