MS. THERESA ANN BOOMER


Address: 4 Pine Ridge Cir, Clancy, MT 59634-9760
Phone: 4064220411

MS. THERESA ANN BOOMER (NPI# 1205111499) 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) 1205111499
Entity Type Individual
Full Name MS. THERESA ANN BOOMER
Other Name MS. THERESA ANN HOPKINS
Credential MS
Practice Address 4 Pine Ridge Cir
Clancy
MT 59634-9760
Practice Telephone 4064220411
Mailing Telephone 4064220411
Enumeration Date 2011-10-19
Last Update Date 2011-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 170300000X Genetic Counselor, MS GC0000000027 TN Other Service Providers
Y 170300000X Genetic Counselor, MS 246.000083 IL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT AMERICAN BOARD OF GENETIC COUNELING CERTIFICATION 2002038 01
IL LICENSED GENETIC COUNSELOR 246.000083 01
TN LICENSED GENETIC COUNSELOR GC0000000027 01

Office Location

Street Address 4 PINE RIDGE CIR
City CLANCY
State MT
Zip Code 59634-9760

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1780088088 Rhonda Guay Specialist 1 Valley View Dr, Suite 102, Montana City, MT 59634-9202 2014-10-15
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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 state

NPI Name Taxonomy Address Enumeration
1033633037 Marissa Clark Genetic Counselor, MS 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 2017-08-01
1538504261 Tessa R Pitman Genetic Counselor, MS 1 Tideway Dr, Whitefish, MT 59937-3236 2013-05-08
1841556164 Karen Ep Stears Genetic Counselor, MS 1315 Golden Valley Circle, Billings, MT 59102 2012-04-11
1598828162 Stephen G Lohning Genetic Counselor, MS 126 E Broadway St Ste 11, Missoula, MT 59802-4511 2006-12-18
1760407993 Sara Anne Adams Genetic Counselor, MS 17017 Hwy 93, Arlee, MT 59821 2006-07-12
1619966595 Elizabeth Rose Smith Genetic Counselor, MS 400 13th Ave S, Suite 103, Great Falls, MT 59405-4300 2005-10-13
1851866552 Tiana Pallister Genetic Counselor, MS 310 Sunnyview Ln, Kalispell, MT 59901-3129 2018-10-09
1194118232 Jaclyn Anne Haven Genetic Counselor, MS 2755 Colonial Dr, Helena, MT 59601-4926 2015-03-13
1013280940 Christina Marie Hawbaker Genetic Counselor, MS 2755 Colonial Dr, Helena, MT 59601-4926 2012-02-23
1336295872 Katherine Berry Genetic Counselor, MS 2755 Colonial Dr, Helena, MT 59601-4926 2007-01-26
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Competitor

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City CLANCY
Zip Code 59634

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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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