MARISA ANNE JENDRAS (NPI# 1538519855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538519855 |
| Entity Type | Individual |
| Full Name | MARISA ANNE JENDRAS |
| Practice Address |
320 Kennestone Hospital Blvd Suite 216 Marietta GA 30060-1161 |
| Practice Telephone | 7707937472 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
320 KENNESTONE HOSPITAL BLVD SUITE 216 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784229 | Charles H Crabbe | Internal Medicine | 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060-1161 | 2005-10-18 |
| 1508479825 | Sarah Burzynski | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Marietta, GA 30060-1161 | 2020-08-26 |
| 1174982482 | Amy S Bradley | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 216, Marietta, GA 30060-1161 | 2016-02-15 |
| 1548691389 | Andrea Paal | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 107, Marietta, GA 30060-1161 | 2013-12-04 |
| 1184990145 | Wellstar Medical Group, LLC | Radiology | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060-1161 | 2012-03-23 |
| 1881990455 | Wellstar Medical Group, LLC | Otolaryngology | 320 Kennestone Hospital Blvd, Suite 107, Marietta, GA 30060-1161 | 2011-01-31 |
| 1275834616 | Wellstar | Audiologist | 320 Kennestone Hospital Blvd, Suite 107, Marietta, GA 30060-1161 | 2010-11-16 |
| 1316263353 | Justin P Hart | Radiology | 320 Kennestone Hospital Blvd, Ll 1, Marietta, GA 30060-1161 | 2010-04-15 |
| 1427294966 | Romni Maudann Owens | Internal Medicine | 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060-1161 | 2009-01-06 |
| 1760527253 | Karen M Ferguson | Physician Assistant | 320 Kennestone Hospital Blvd, Suite Ll1, Marietta, GA 30060 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| 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 |
|---|---|---|---|---|
| 1336518521 | Sarah Siddiqui | Genetic Counselor, MS | 320 Kennestone Hospital Blvd Ste 216, Marietta, GA 30060-1140 | 2015-09-18 |
| 1508479825 | Sarah Burzynski | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Marietta, GA 30060-1161 | 2020-08-26 |
| 1558854448 | Caitlin Wright | Genetic Counselor, MS | 320 Kennestone Hospital Blvd Ste 216, Marietta, GA 30060-1140 | 2018-06-14 |
| 1174982482 | Amy S Bradley | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 216, Marietta, GA 30060-1161 | 2016-02-15 |
| 1548691389 | Andrea Paal | Genetic Counselor, MS | 320 Kennestone Hospital Blvd, Ste 107, Marietta, GA 30060-1161 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1275003527 | Victoria Lynn Weber | Genetic Counselor, MS | 1447 Harper St # Bp5353, Augusta, GA 30912-0020 | 2018-11-29 |
| 1841773397 | Palak Bawa | Genetic Counselor, MS | 550 Peachtree St Ne Ste 1502, Atlanta, GA 30308-2247 | 2018-09-11 |
| 1316423759 | Dillon Davis | Genetic Counselor, MS | 1800 Howell Mill Rd Nw Ste 625, Atlanta, GA 30318-2538 | 2018-07-18 |
| 1881045144 | Melanie Hardy | Genetic Counselor, MS | 5115 New Peachtree Rd Ste 301, Atlanta, GA 30341-3326 | 2016-06-28 |
| 1508242157 | Christine Redulla Tallo | Genetic Counselor, MS | Tufts House 2004 Ridgewood Dr, Atlanta, GA 30322-1020 | 2015-08-05 |
| 1063819126 | Alekhya Narravula | Genetic Counselor, MS | 784 Ponce De Leon Pl Ne Apt 101, Atlanta, GA 30306-4152 | 2014-12-04 |
| 1568878155 | Yunru Shao | Genetic Counselor, MS | 6008 Oak Park Cir Ne, Atlanta, GA 30324-5294 | 2014-07-03 |
| 1942611348 | Darnell Phillips | Genetic Counselor, MS | 2115 Piedmont Rd Ne, 3112, Atlanta, GA 30324-4154 | 2014-05-19 |
| 1023454253 | Hung H Chiu | Genetic Counselor, MS | 4725 Peachtree Corners Cir, Norcross, GA 30092-2571 | 2013-05-15 |
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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.