KIMBERLY BRUSSOW (NPI# 1205276300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205276300 |
| Entity Type | Individual |
| Full Name | KIMBERLY BRUSSOW |
| Credential | M.S. |
| Practice Address |
625 N 6th St Phoenix AZ 85004-2155 |
| Mailing Address |
3030 N Central Ave Ste 1001 Phoenix AZ 85012-2716 |
| Practice Telephone | 6024068222 |
| Mailing Telephone | 6024064786 |
| Mailing Fax Number | 9166364358 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-07-15 |
| 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 |
625 N 6TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735585 | Panagiotis Mihalis Fidias | Internal Medicine | 625 N 6th St, Phoenix, AZ 85004-2155 | 2005-10-27 |
| 1477048957 | Heather Betts | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-06-26 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1619481132 | Ginka Conrey | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2017-11-20 |
| 1427406719 | Kimberly J Halla | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-05-27 |
| 1720440548 | Uacc St. Jospeh's Hospital and Medical Center | Clinic/Center | 625 N 6th St, Phoenix, AZ 85004-2155 | 2016-03-22 |
| 1881055291 | Carrie Jean Peterson | Nurse Practitioner | 625 N 6th St, Phoenix, AZ 85004 | 2016-03-11 |
| 1093180770 | Mandy Cornelius | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-12-07 |
| 1245604446 | Laurie Mann | Social Worker | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-25 |
| 1952775298 | Dignity Health | Pharmacy | 625 N 6th St, Phoenix, AZ 85004-2155 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1699951301 | Perinatal Care Associates | Genetic Counselor, MS | 500 W Thomas Rd Ste 870, Phoenix, AZ 85013-4218 | 2008-01-11 |
| 1841818382 | Allison Mary Abbott | Genetic Counselor, MS | 1920 E Cambridge Ave Ste 304, Phoenix, AZ 85006-1464 | 2020-07-10 |
| 1568970945 | Karen Dirrigl | Genetic Counselor, MS | 625 N 6th St, Phoenix, AZ 85004-2155 | 2018-01-18 |
| 1518486216 | Brianna Pruniski | Genetic Counselor, MS | 1920 E Cambridge Ave, Rosenberg Children's Medical Plaza, Suite 304, Phoenix, AZ 85006 | 2017-09-13 |
| 1114463122 | Justin Gasparini | Genetic Counselor, MS | 1111 E Mcdowell Rd, Radiation Oncology, Phoenix, AZ 85006-2612 | 2017-01-13 |
| 1407211121 | Jennifer Siettmann | Genetic Counselor, MS | 1111 E Mcdowell Rd, Radiation Oncology, Phoenix, AZ 85006-2612 | 2015-12-22 |
| 1518197870 | Brittney Dawn Kraeer | Genetic Counselor, MS | 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 | 2009-07-21 |
| 1356330195 | Ashley Suzanne Ryan | Genetic Counselor, MS | 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013-4419 | 2005-10-14 |
| 1164411039 | Sarah Cox | Genetic Counselor, MS | 222 W Thomas Rd, Ste. 304, Phoenix, AZ 85013-4419 | 2005-10-13 |
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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.