SANDRA KATHARINA PRUCKA


Address: 1530 3rd Ave S, Kaul 202c, Birmingham, AL 35294-0002
Phone: 2059349500

SANDRA KATHARINA PRUCKA (NPI# 1750370607) 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) 1750370607
Entity Type Individual
Full Name SANDRA KATHARINA PRUCKA
Credential MS
Practice Address 1530 3rd Ave S
Kaul 202c
Birmingham
AL 35294-0002
Practice Telephone 2059349500
Practice Fax Number 2059756389
Mailing Telephone 2059349500
Mailing Fax Number 2059756389
Enumeration Date 2005-10-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

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

Office Location

Street Address 1530 3RD AVE S
KAUL 202C
City BIRMINGHAM
State AL
Zip Code 35294-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437550175 Jessica Russell Sparks Nurse Practitioner 1530 3rd Ave S, Birmingham, AL 35294-0002 2014-09-12
1770984890 Joan Wilson Nurse Practitioner 1530 3rd Ave S, Tht 422, Birmingham, AL 35294-0006 2014-09-08
1023442746 Shara Marie Viles Nurse Practitioner 1530 3rd Ave S, Tht 422, Birmingham, AL 35294-0002 2013-08-29
1174893374 Raluca Carmen Ainsworth Nurse Anesthetist, Certified Registered 1530 3rd Ave S, Birmingham, AL 35294-1150 2012-01-04
1770726747 Patricia A Patrician Registered Nurse 1530 3rd Ave S, Nb324, Birmingham, AL 35294-0002 2009-04-07
1902050438 Jacinda Celeste Hammel Psychologist 1530 3rd Ave S, Ch20-337, Birmingham, AL 35294-0002 2008-11-11
1841451101 Tracy Anh Hwangpo Allergy & Immunology 1530 3rd Ave S, Kirlin Clinic, Birmingham, AL 35294-0002 2008-06-19
1275703308 Christopher Healy Fleming Dentist 1530 3rd Ave S, Birmingham, AL 35294-0002 2008-03-05
1528244571 Tracie Lyn White Nurse Practitioner 1530 3rd Ave S, Birmingham, AL 35294-0002 2008-01-20
1508999848 Gary T Turner Specialist 1530 3rd Ave S, Suite Bdb 563, Birmingham, AL 35294-0012 2007-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1295235372 Ruben Angiolo Mazzucchelli Student in an Organized Health Care Education/Training Program 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 2018-02-15
1528571981 Alison Rachel Thomas Social Worker Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 2017-11-08
1346752490 Sara Michelle Kimbrell Nurse Practitioner 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 2017-10-30
1801338785 Melissa Robinson Specialist/Technologist 608 13th St South, Wb104, Birmingham, AL 35294 2016-11-09
1487020897 Heriberto Enrique Matos Santana Student in an Organized Health Care Education/Training Program 1900 University Blvd Tht Building 311, Birmingham, AL 35294 2015-08-19
1073908364 Jamie Youngshin Kim Dentist 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 2015-04-02
1407257629 Kathryn Johannah Langley Nurse Practitioner 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 2014-09-08
1427463702 Lakeshia Thomas Student in an Organized Health Care Education/Training Program 1919-7th Avenue South, 304a, Birmingham, AL 35294 2014-06-25
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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
1881187060 Aimee Michelle Jennings Genetic Counselor, MS 101 Leaf Lake Blvd Apt 619, Birmingham, AL 35211-7255 2018-06-12
1295809747 Carolyn Christina Barger Genetic Counselor, MS Kaul 202e University of Alabama At Birmingham, 1530 3rd Ave. South, Birmingham, AL 35294-0001 2006-11-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093921330 Faye Burdette Summers Genetic Counselor, MS 128 N Chalkville Rd, Trussville, AL 35173-1373 2007-05-15
1215453063 Caroline Jade Koch Genetic Counselor, MS 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 2017-08-14
1609917111 Carla Badenhop Mason Genetic Counselor, MS 3601 Cci Dr Nw, Huntsville, AL 35805-2606 2007-02-08
1720199144 Springe Yolanda Love Genetic Counselor, MS 2400 Hospital Rd, Tuskegee, AL 36083-5001 2006-08-31

Competitor

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City BIRMINGHAM
Zip Code 35294

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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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