SAMANTHA STICKEVERS (NPI# 1407259922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407259922 |
| Entity Type | Individual |
| Full Name | SAMANTHA STICKEVERS |
| Credential | MS, CGC |
| Practice Address |
1 Essex Center Dr Peabody MA 01960-2901 |
| Practice Telephone | 9785384794 |
| Practice Fax Number | 9785384720 |
| Mailing Telephone | 9785384794 |
| Mailing Fax Number | 9785384720 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | GC233 | MA | Other Service Providers |
| Street Address |
1 ESSEX CENTER DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688224 | Peter K. Zucker | Obstetrics & Gynecology | 1 Essex Center Dr, Lahey Clinic Inc, Peabody, MA 01960-2901 | 2005-08-31 |
| 1851918304 | Julia Navon | Dietitian, Registered | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2020-07-01 |
| 1447805700 | Michael Stillman Mayo | Social Worker | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2019-08-05 |
| 1093226870 | Andrew Shaheen | Physician Assistant | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2017-10-19 |
| 1740644012 | Noreen Shaikh | Ophthalmology | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2016-04-12 |
| 1235530312 | Orthocare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1 Essex Center Dr, Suite N2503, Peabody, MA 01960-2901 | 2014-09-09 |
| 1477961589 | Kathleen Smith | Nurse Practitioner | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2014-08-01 |
| 1558674424 | Meghan A Malloy | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-21 |
| 1093028367 | Evelyn S Delegas | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-15 |
| 1043469158 | Alison Locke | Social Worker | 1 Essex Center Dr, Lahey Medical Center, Peabody, Peabody, MA 01960-2901 | 2008-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1376144899 | Christine Keywan | Genetic Counselor, MS | 320 D St Unit 451, Boston, MA 02127-1284 | 2020-11-02 |
| 1457968992 | Kaitlin Winston O'connell | Genetic Counselor, MS | 243 Charles St Fl 3, Boston, MA 02114-3002 | 2020-09-29 |
| 1740821271 | Kayla Hamilton | Genetic Counselor, MS | 450 Brookline Ave # D-1045, Boston, MA 02215-5450 | 2019-10-07 |
| 1114571676 | Abigail Sassaman | Genetic Counselor, MS | 75 Francis Street Center for Fetal Medicine, Boston, MA 02115 | 2019-08-01 |
| 1265999841 | Janine Elizabeth Kakishita | Genetic Counselor, MS | 450 Brookline Ave # Da1047, Boston, MA 02215-5450 | 2019-03-01 |
| 1437622370 | Anne Nyberg | Genetic Counselor, MS | 850 Harrison Ave Fl Yawkey6, Boston, MA 02118-4001 | 2019-01-03 |
| 1609355395 | Yiru Chen Zhao | Genetic Counselor, MS | 55 Fruit St # 10b, Boston, MA 02114-2696 | 2018-08-13 |
| 1659882249 | Shraddha V Gaonkar | Genetic Counselor, MS | 450 Brookline Ave # Dana1045, Boston, MA 02215-5418 | 2017-10-23 |
| 1487165775 | Melissa Larocca | Genetic Counselor, MS | 450 Brookline Ave # Dana1040, Boston, MA 02215-5418 | 2017-10-13 |
| 1902324155 | Claire Hacking | Genetic Counselor, MS | 830 Harrison Ave # Ll236, Boston, MA 02118-2905 | 2017-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAMANTHA STICKEVERS.
| 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.