MRS. THERESA MARIE SHUCK (NPI# 1598743239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598743239 |
Entity Type | Individual |
Full Name | MRS. THERESA MARIE SHUCK |
Credential | MS,MA,CGC,CPLC |
Practice Address |
835 South Vanburen Street St. Vincent Hospital- Women's Services Green Bay WI 54307-3508 |
Mailing Address |
Po Box 13508 St. Vincent Hospital- Women's Services Green Bay WI 54307-3508 |
Practice Telephone | 9204338559 |
Practice Fax Number | 9204313138 |
Mailing Telephone | 9204338559 |
Mailing Fax Number | 9204313138 |
Enumeration Date | 2006-01-04 |
Last Update Date | 2014-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
WI | Behavioral Health & Social Service Providers | |
Y | 170300000X | Genetic Counselor, MS | WI | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639581853 | Theresa Shuck | Speech-Language Pathologist | 1981 Ne Columbia Rd, Seattle, WA 98195-1806 | 2014-05-22 |
Street Address |
835 SOUTH VANBUREN STREET ST. VINCENT HOSPITAL- WOMEN'S SERVICES |
City | GREEN BAY |
State | WI |
Zip Code | 54307-3508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659467595 | Brenda J Chaet | Occupational Therapist | 835 South Vanburen Street, Green Bay, WI 54307-3508 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
1528259397 | Venkata Ravi Kiran Kadipi Reddy | Family Medicine | 2793 Lineville Road, Green Bay, WI 54307 | 2007-08-07 |
1255526455 | Tasha Joy Malvitz | Speech-Language Pathologist | 1673 Dousman Street, Green Bay, WI 54307-2770 | 2007-09-11 |
1649292772 | Sherri Claire Szczepanski | Registered Nurse | 1727 Shawano Ave., Prevea Health, Green Bay, WI 54307-3008 | 2006-07-25 |
1063423200 | Jonathan William Strom | Pharmacist | 744 South Webster Ave, Green Bay, WI 54307-3400 | 2006-08-11 |
1992122485 | Stephanie Julius | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2014-03-24 |
1922271907 | Kelechi Ngozi Chiori-omotoso | Hospitalist | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2008-04-10 |
1184602633 | Sumedha Ghate | Genetic Counselor, MS | 835 S Van Buren St, St. Vincent Hospital - Genetics Clinic, Green Bay, WI 54307-3508 | 2006-01-05 |
1174737449 | Emily Margaret Johnson | Specialist/Technologist | 716 Pilgrim Way, Green Bay, WI 54307-9070 | 2007-05-09 |
Find all providers in zip 54307 |
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 |
---|---|---|---|---|
1184282931 | Brooke Kathleen Sample | Genetic Counselor, MS | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2019-06-05 |
1700267051 | Emma Herlache | Genetic Counselor, MS | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2015-06-12 |
1952680563 | Ben Thomas Kosewski | Genetic Counselor, MS | 1580 Commanche Ave, Green Bay, WI 54313-5751 | 2011-08-12 |
1184602633 | Sumedha Ghate | Genetic Counselor, MS | 835 S Van Buren St, St. Vincent Hospital - Genetics Clinic, Green Bay, WI 54307-3508 | 2006-01-05 |
1003893710 | Amy Mach Schoenebeck | Genetic Counselor, MS | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2005-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000846 | Abigail Freeman | Genetic Counselor, MS | 600 Highland Ave # K6232c, Madison, WI 53792-0001 | 2020-07-16 |
1184283301 | Chantal Christian | Genetic Counselor, MS | 2350 N Lake Dr Ste 100, Milwaukee, WI 53211-4519 | 2019-06-11 |
1982194916 | Miranda Katherine Ruben | Genetic Counselor, MS | 1900 South Ave # H03-003, La Crosse, WI 54601-5467 | 2018-05-15 |
1891215356 | Anna Zakas | Genetic Counselor, MS | 600 Highland Ave # 2464, Madison, WI 53792-0001 | 2017-06-26 |
1699295154 | Kelcy Smith | Genetic Counselor, MS | 600 Highland Ave # Mc2464, Madison, WI 53792-0001 | 2017-06-26 |
1932480886 | Alyson Schall Krokosky | Genetic Counselor, MS | Thedacare Regional Cancer Center - Genetics, 2500 E. Capitol Dr., Appleton, WI 54911 | 2011-09-06 |
1104105774 | Jeffrey William Kopesky | Genetic Counselor, MS | 9000 W. Wisconsin Ave, Ms 716, Milwaukee, WI 53226-2719 | 2011-08-12 |
1861711574 | Ashley Wells | Genetic Counselor, MS | 3003 W Good Hope Rd., Milwaukee, WI 53209-2042 | 2010-05-19 |
1043298201 | Julie Ann Mccarrier | Genetic Counselor, MS | 9000 W Wisconsin Ave # Ms 716, Milwaukee, WI 53226-4874 | 2006-01-06 |
1205435062 | Jaclyn Noelle Schlang | Genetic Counselor, MS | 1900 South Ave, La Crosse, WI 54601-5467 | 2020-10-22 |
Find all providers with the same taxonomy |
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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.