SHANDRA JEFFRIES


Address: 3505 Broadway, Oakland, CA 94611-5714
Phone: 2086956401

SHANDRA JEFFRIES (NPI# 1639555238) 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) 1639555238
Entity Type Individual
Full Name SHANDRA JEFFRIES
Credential MS
Practice Address 3505 Broadway
Oakland
CA 94611-5714
Mailing Address 2000 Crystal Springs Rd
Apt 111
San Bruno
CA 94066-4638
Practice Telephone 2086956401
Enumeration Date 2015-08-05
Last Update Date 2015-08-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS GC000653 CA Other Service Providers

Office Location

Street Address 3505 BROADWAY
City OAKLAND
State CA
Zip Code 94611-5714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376199836 Furyal Mahmood Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5798 2019-08-12
1902334766 Lakshmi Vijanderan Speech-Language Pathologist 3505 Broadway, Oakland, CA 94611-5714 2017-05-24
1285187435 Jenna Tidwell Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5714 2016-07-24
1700248267 Emily Rettner Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5714 2016-03-24
1366825754 Kaiser Permanente Genetic Counselor, MS 3505 Broadway, Mosswood Building, 10th Floor, Oakland, CA 94611-5714 2015-07-02
1699187971 Victoria Chu Student in an Organized Health Care Education/Training Program 3505 Broadway, Oakland, CA 94611-5714 2014-05-21
1467871970 Michelle Louie Pediatrics 3505 Broadway, Oakland, CA 94611-5714 2014-04-11
1477890325 Erin B Poma Speech-Language Pathologist 3505 Broadway, 7th Floor, Oakland, CA 94611-5714 2013-01-12
1568742500 Patricia Gail Le Dietitian, Registered 3505 Broadway, 12th Floor, Oakland, CA 94611-5714 2011-08-22
1497071963 Bryce Abram Mendelsohn Medical Genetics 3505 Broadway, Oakland, CA 94611-5714 2010-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028454 Abduljabbar Alhammoud Student in an Organized Health Care Education/Training Program Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 2020-09-21
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1700389699 Katie Herron Student in an Organized Health Care Education/Training Program 2535 Harrison St., Oakland, CA 94611 2018-03-16
1861923351 Hoiwan Cheung Student in an Organized Health Care Education/Training Program 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 2017-03-25
1104377126 Collin Chan Pharmacist 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 2016-10-14
1912457276 Madeline Marie Perket Registered Nurse 933 Kingston Ave, Piedmont, CA 94611 2016-10-11
1962959460 Healing Arts Chiropractic Chiropractor 187 40th Street Way, Oakland, CA 94611 2016-09-01
1033573829 Diana Murphy Counselor 629 Oakland, Oakland, CA 94611 2016-04-08
1437515483 Laura Northrup II Marriage & Family Therapist 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 2016-01-06
1558736835 Michael Joseph Scollard Dentist 42 Linda Ave., Oakland, CA 94611 2015-12-11
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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
1316433246 Monica B Datta Genetic Counselor, MS 3505 Broadway Fl 10, Oakland, CA 94611-5798 2018-07-03
1801929484 Joan Alice Emery Genetic Counselor, MS 5730 Telegraph Ave, Oakland, CA 94609-1710 2007-03-13
1689652828 Phyllis R Pearle Genetic Counselor, MS 5730 Telegraph Ave Ste 117, Oakland, CA 94609-1710 2006-01-06
1437137700 Ann Stembridge Kung Genetic Counselor, MS 275 W Macarthur Blvd, Kaiser Oakland/genetics Dept, Oakland, CA 94611-5641 2006-01-05
1184242307 Cecilia Fairley Genetic Counselor, MS 747 52nd St, Oakland, CA 94609-1809 2020-07-14
1376199836 Furyal Mahmood Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5798 2019-08-12
1467981985 Holly Ann-marie Mueller Genetic Counselor, MS 5730 Telegraph Ave Ste 117, Oakland, CA 94609-1710 2017-06-08
1285187435 Jenna Tidwell Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5714 2016-07-24
1700248267 Emily Rettner Genetic Counselor, MS 3505 Broadway, Oakland, CA 94611-5714 2016-03-24
1366825754 Kaiser Permanente Genetic Counselor, MS 3505 Broadway, Mosswood Building, 10th Floor, Oakland, CA 94611-5714 2015-07-02
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94611

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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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