MS. SUZANNE J POULSON (NPI# 1417936105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417936105 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE J POULSON |
| Credential | M.S |
| Practice Address |
100 E. Idaho Street Boise IDAHO 83712 UM |
| Mailing Address |
9866 W Skycliffe Ave Boise ID 83704-2060 |
| Practice Telephone | 2083816099 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
100 E. IDAHO STREET |
| City | BOISE |
| State | IDAHO |
| Zip Code | 83712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| 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 |
|---|---|---|---|---|
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1104851401 | Patricia Antoinette Dock | Genetic Counselor, MS | 6200 West Emerald Street, Boise, ID 83704 | 2006-07-12 |
| 1417935966 | Heidi Louise Nagel | Genetic Counselor, MS | 333 N 1st St, Suite 150, Boise, ID 83702-6100 | 2006-01-05 |
| 1053396671 | Anne Cottrell Spencer | Genetic Counselor, MS | 2220 Old Penitentiary Rd, Boise, ID 83712-8249 | 2005-12-07 |
| 1700494291 | Caitlin Clark-wiest | Genetic Counselor, MS | 333 N 1st St Ste 150, Boise, ID 83702-6135 | 2020-07-21 |
| 1366060147 | Bailey Severe | Genetic Counselor, MS | 305 E Jefferson St, Boise, ID 83712-6231 | 2020-07-08 |
| 1619526613 | Calan Szmyd | Genetic Counselor, MS | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-09-11 |
| 1003461245 | Amy Stenhouse | Genetic Counselor, MS | 333 N 1st St Ste 150, Boise, ID 83702-6135 | 2019-08-05 |
| 1750940870 | Laura Elizabeth Marx | Genetic Counselor, MS | 100 E Idaho St Ste 200, Boise, ID 83712-6270 | 2019-06-12 |
| 1992267496 | Kt Curry | Genetic Counselor, MS | 100 E Idaho St, Boise, ID 83712-6267 | 2019-04-03 |
| Find all providers in BOISE | ||||
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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.