SHANNON HOLTROP (NPI# 1306360680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170300000X | Genetic Counselor, MS | 196 | TN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q032673 | 05 |
Street Address |
51 N DUNLAP ST FL 4 |
City | MEMPHIS |
State | TN |
Zip Code | 38105-4625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225230915 | Crystal Pourciau | Dermatology | 51 N Dunlap St Fl 4, Memphis, TN 38105-4625 | 2007-06-04 |
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 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 |
---|---|---|---|---|
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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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.