SHANNON HOLTROP


Address: 51 N Dunlap St Fl 4, Memphis, TN 38105-4625
Phone: 9012877337

SHANNON HOLTROP (NPI# 1306360680) 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) 1306360680
Entity Type Individual
Full Name SHANNON HOLTROP
Credential CGC, LGC
Practice Address 51 N Dunlap St Fl 4
Memphis
TN 38105-4625
Mailing Address 850 Poplar Ave Bldg 2
Memphis
TN 38105-4607
Practice Telephone 9012877337
Enumeration Date 2017-07-28
Last Update Date 2017-12-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS 196 TN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q032673 05

Office Location

Street Address 51 N DUNLAP ST FL 4
City MEMPHIS
State TN
Zip Code 38105-4625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225230915 Crystal Pourciau Dermatology 51 N Dunlap St Fl 4, Memphis, TN 38105-4625 2007-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447887435 Leeanne Chittom Mcdonald Dietitian, Registered Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 2020-03-27
1619508942 Victoria Mackay Physician Assistant 595 Danny Thomas Place, Memphis, TN 38105 2020-01-27
1720436710 Angela Marie Pratt Nurse Practitioner 262 Danny Thomas Blvd, Memphis, TN 38105 2016-05-31
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1467864173 Nicole Mary Alberts Psychologist 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 2014-05-29
1689004160 Virginia Carney Dietitian, Registered 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 2013-11-19
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1457622235 Healthy Indigent Populations Inc. Exclusive Provider Organization 1066 Delmar, Memphis, TN 38105 2012-01-25
1285953265 Nicholas Steve Phillips Student in an Organized Health Care Education/Training Program 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 2010-05-31
1205151776 Kyle Joseph Morgan Anesthesiology 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 2010-03-28
Find all providers in zip 38105

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
1659911394 Rose Mcgee Genetic Counselor, MS 262 Danny Thomas Pl # Ms 1170, Memphis, TN 38105-3678 2020-01-10
1518354042 Roya Mostafavi Genetic Counselor, MS 848 Adams Ave Fl 8, Memphis, TN 38103-2816 2015-04-22
1285274639 Alise Murray Genetic Counselor, MS 262 Danny Thomas Pl, Memphis, TN 38105-3678 2020-01-14
1730732637 Megan Leeann Parker Genetic Counselor, MS 51 N Dunlap St, 4th Fl, Memphis, TN 38105-2802 2019-07-19
1619498938 Andrew Bell Genetic Counselor, MS 80 Humphreys Center Dr Ste 202, Memphis, TN 38120 2017-06-28
1770983827 Regina Nuccio Genetic Counselor, MS 80 Humphreys Center Dr, Suite #340, Memphis, TN 38120-2353 2014-08-26
1346649175 Lorrell White Genetic Counselor, MS 80 Humphreys Center Dr, #340, Memphis, TN 38120-2353 2014-08-18
1053737536 Bruce Raymond Haas Genetic Counselor, MS 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 2014-03-08
1154768851 Katherine Fink Genetic Counselor, MS 100 N Humphreys Blvd, Memphis, TN 38120-2146 2013-06-04
1447404710 Carolyn Horton Genetic Counselor, MS 100 N Humphreys Blvd, Memphis, TN 38120-2146 2008-11-12
Find all providers in MEMPHIS

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City MEMPHIS
Zip Code 38105

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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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