INFORMED MEDICAL DECISIONS, INC.


Address: 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472
Phone: 7607784434

INFORMED MEDICAL DECISIONS, INC. (NPI# 1568633121) 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) 1568633121
Entity Type Organization
Organization Name INFORMED MEDICAL DECISIONS, INC.
Other Organization Name INFORMED DNA
Practice Address 877 Executive Center Dr W Ste 206
St Petersburg
FL 33702-2472
Mailing Address 360 Central Avenue
Suite 1230
St Petersburg
FL 33701
Practice Telephone 7607784434
Practice Fax Number 7602031188
Mailing Telephone (760) 778-4434
Mailing Fax Number 7602031188
Enumeration Date 2008-03-21
Last Update Date 2017-08-18
Authorized Official Name MR. DAVID PATRICK NIXON (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7607784434
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Informed DNA Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations INFORMED MEDICAL DECISIONS, INC. 80 State Street, Albany, Ny 122072543
Colorado Business Entities Informed Medical Decisions, Inc. 400 S. Farrell Drive, Suite B-210, Palm Springs, CA 92262

Office Location

Street Address 877 EXECUTIVE CENTER DR W STE 206
City ST PETERSBURG
State FL
Zip Code 33702-2472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730104985 Erin Fink Eichhorn Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2006-07-12
1821642380 Thuy-mi Nguyen Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-08-01
1710548938 Cheryl Thomas Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-06-27
1407319973 Sterling Yee Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-04-10
1710485321 Emily Chiyeko Higuchi Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2018-01-29
1427441625 Amy Lou Sufka Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2015-03-12
1487720173 Sheri Ann Babb Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2006-11-27
1427077221 Katherine Nelson Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419637 Lea Diana Stemplewski Occupational Therapist 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 2020-02-19
1366919557 Svetlana Nagle Nurse Practitioner 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 2018-10-25
1457835613 Joseph Kirchmer Physical Therapy Assistant 7101 9th St N, St Petersburg, FL 33702 2018-09-23
1386135176 Valencia Gibson Behavior Technician 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 2018-05-29
1740778760 Nicole S Kapr Behavior Technician 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 2018-04-25
1003316050 Sonya Lesnefsky Behavior Technician 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 2018-02-16
1003315086 Erin Nicole Rogers Behavior Technician 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 2018-02-06
1881192482 Carrie Langbo Genetic Counselor, MS Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 2018-01-29
1891203485 Healthy Lifestyles Tampa Bay LLC Psychologist 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 2018-01-17
1649787235 Gurdeep Singh Behavior Technician 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 2018-01-04
Find all providers in zip 33702

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
1407280001 Cynthia Anice Watson Genetic Counselor, MS 877 Executive Center Dr W, Suite 206, St Petersburg, FL 33702-2460 2013-08-30
1730104985 Erin Fink Eichhorn Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2006-07-12
1104815893 Troy A Becker Genetic Counselor, MS 880 6th St S, Suite 240, St Petersburg, FL 33701-4827 2005-10-17
1821642380 Thuy-mi Nguyen Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-08-01
1710548938 Cheryl Thomas Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-06-27
1407319973 Sterling Yee Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2019-04-10
1710485321 Emily Chiyeko Higuchi Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2018-01-29
1851837587 Casey Mckenna Genetic Counselor, MS 360 Central Ave, Suite 1230, St Petersburg, FL 33701-3857 2017-01-19
1427441625 Amy Lou Sufka Genetic Counselor, MS 877 Executive Center Dr W Ste 206, St Petersburg, FL 33702-2472 2015-03-12
1861898066 Sandra Mcdonough Genetic Counselor, MS 360 Central Ave, Suite 1230, St Petersburg, FL 33701-3857 2014-11-15
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33702

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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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