KELLY KEMAK (NPI# 1215412465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215412465 |
| Entity Type | Individual |
| Full Name | KELLY KEMAK |
| Credential | LCGC |
| Practice Address |
1718 E 4th St Ste 105 Charlotte NC 28204-3193 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043845373 |
| Practice Fax Number | 7044174400 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | NC | Other Service Providers | |
| N | 170300000X | Genetic Counselor, MS | CG-0000193 | DE | Other Service Providers |
| Street Address |
1718 E 4TH ST STE 105 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831164383 | Kristie Lynn Blair-rutherford | Nurse Practitioner | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2006-02-20 |
| 1649764275 | Alexandria Tessari | Genetic Counselor, MS | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2018-06-18 |
| 1356847669 | Kathryn L Berrier | Genetic Counselor, MS | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2018-04-04 |
| 1295089936 | Novant Medical Group, Inc | Internal Medicine | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2012-11-02 |
| 1730499112 | Ashley Marie Kaminski | Genetic Counselor, MS | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1427588243 | Mariah L Gleason | Genetic Counselor, MS | 1021 Morehead Medical Dr Ste 2300, Charlotte, NC 28204-2991 | 2017-06-14 |
| 1447438403 | Jennifer L Hargett | Genetic Counselor, MS | 1025 Morehead Medical Dr, Suite 500, Women's Institute, Charlotte, NC 28204 | 2008-02-01 |
| 1609079771 | Shelley Kaye Dills | Genetic Counselor, MS | 1001 Blythe Blvd Ste 200, Clinical Genetics, Charlotte, NC 28203-5865 | 2007-06-07 |
| 1114900917 | Teresa Bennett Brady | Genetic Counselor, MS | 1025 Morehead Medical St, Charlotte, NC 28204-2839 | 2005-11-25 |
| 1215552872 | Simone Biggers | Genetic Counselor, MS | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2020-06-10 |
| 1679125801 | Lindsey Victoria | Genetic Counselor, MS | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2019-07-09 |
| 1417513573 | Tamara Lynn Haygarth | Genetic Counselor, MS | 1001 Blythe Blvd Ste 200, Charlotte, NC 28203-5865 | 2019-05-14 |
| 1578129607 | Dana M Mittag | Genetic Counselor, MS | 1001 Blythe Blvd Ste 200, Charlotte, NC 28203-5865 | 2019-05-14 |
| 1649764275 | Alexandria Tessari | Genetic Counselor, MS | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2018-06-18 |
| 1356847669 | Kathryn L Berrier | Genetic Counselor, MS | 1718 E 4th St Ste 105, Charlotte, NC 28204-3193 | 2018-04-04 |
| Find all providers in CHARLOTTE | ||||
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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.