ANNA RAE SHELLEY (NPI# 1770087058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770087058 |
| Entity Type | Individual |
| Full Name | ANNA RAE SHELLEY |
| Credential | LGC |
| Practice Address |
1575 Beam Ave Maplewood MN 55109-1126 |
| Mailing Address |
120 13th Ave Ne Apt 310 Minneapolis MN 55413-2091 |
| Practice Telephone | 6513267610 |
| Practice Fax Number | 6513267050 |
| Mailing Telephone | 5153701380 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170300000X | Genetic Counselor, MS | 1219 | MN | Other Service Providers |
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers | ||
| N | 170300000X | Genetic Counselor, MS | MN | Other Service Providers |
| Street Address |
1575 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447468 | Darcy Ross Mcbride | Radiology | 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 | 2005-06-15 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1972075406 | Baylee Nahan | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-12-21 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1366959652 | Gabrielle Mae Blia Lee | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-08 |
| 1962925479 | Yeng Lor | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1396268801 | De Mo Soe | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1437672946 | Way Ber | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1467974089 | Brittney Moore | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1598045411 | Rachel Jo Riesgraf | Genetic Counselor, MS | 1575 Beam Ave, Health East St. John's Hospital, Maplewood, MN 55109-1126 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998086 | Allison Elizabeth Hentschell | Genetic Counselor, MS | 11850 Blackfoot St Nw Ste 230, Coon Rapids, MN 55433-2593 | 2020-07-01 |
| 1497371504 | Jenna Deane Soukup | Genetic Counselor, MS | 3931 Louisiana Ave S Ste 315, St Louis Park, MN 55426-5000 | 2020-06-24 |
| 1639704794 | Iman Erika Kashmola-perez | Genetic Counselor, MS | 606 24th Ave S Fl 4, Minneapolis, MN 55454-1455 | 2020-03-10 |
| 1093351454 | Christine Koellner | Genetic Counselor, MS | 3109 Harbor Dr Se, Rochester, MN 55904-5925 | 2019-11-20 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265922082 | Rachel Brite Saunders | Genetic Counselor, MS | 2545 Chicago Ave # Mdb17700, Minneapolis, MN 55404-4522 | 2018-05-16 |
| 1639615156 | My Genetic Ally LLC | Genetic Counselor, MS | 602 N 1st St Apt 714, Minneapolis, MN 55401-2251 | 2017-01-07 |
| 1902353352 | Laura Marie Haugo | Genetic Counselor, MS | 3931 Louisiana Ave S Ste E111, Saint Louis Park, MN 55426-5000 | 2016-09-01 |
| 1952765133 | Hallee Christine Adamsheck | Genetic Counselor, MS | 800 E 28th St Ste Mr 39105, Minneapolis, MN 55407-3723 | 2016-04-13 |
| 1689062317 | Kimberly Schahl | Genetic Counselor, MS | 1801 13th Ave Ne, Kasson, MN 55944-9437 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.