AMY T. MOTTOLA (NPI# 1891713046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891713046 |
| Entity Type | Individual |
| Full Name | AMY T. MOTTOLA |
| Credential | M.S., CGC |
| Practice Address |
2406 Blue Ridge Rd Suite 200 Raleigh NC 27607-6678 |
| Practice Telephone | 9197826814 |
| Practice Fax Number | 9195714697 |
| Mailing Telephone | 9197826814 |
| Mailing Fax Number | 9195714697 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| 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 |
2406 BLUE RIDGE RD SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260043 | Lori Moore Langdon | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2005-10-26 |
| 1386209633 | Wakemed Specialists Group LLC | Clinic/Center | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2019-05-02 |
| 1730656638 | Kushal Khimji | Pharmacist | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2018-10-29 |
| 1225446800 | Courtney Yerxa | Genetic Counselor, MS | 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 | 2014-07-28 |
| 1265848154 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 | 2014-07-11 |
| 1801207543 | Melinda Lee Beavers | Pediatrics | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2014-05-15 |
| 1942625991 | Jamie Harding | Physician Assistant | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2014-02-27 |
| 1427493071 | Alison Lee Vurnakes | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-05-08 |
| 1154663482 | Alyssa Ann Jenkins | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-03-25 |
| 1225372246 | Duke University Affiliated Physicians, Inc | Obstetrics & Gynecology | 2406 Blue Ridge Rd, Suite 250, Raleigh, NC 27607-6678 | 2012-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| 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 |
|---|---|---|---|---|
| 1952449274 | Elizabeth L Lyon | Genetic Counselor, MS | 5601 Six Forks Rd, Second Bldg, Third Floor, Raleigh, NC 27609-3811 | 2007-02-01 |
| 1720005762 | Monica Denise Trout | Genetic Counselor, MS | 2406 Blue Ridge Rd Ste 200, Raleigh, NC 27607-6680 | 2006-07-16 |
| 1417936691 | Ofri Leitner | Genetic Counselor, MS | 4708 Fallswood Pl, Raleigh, NC 27613-6109 | 2006-01-16 |
| 1861943920 | Maria Keever | Genetic Counselor, MS | 3020 New Bern Ave, Raleigh, NC 27610-1215 | 2016-10-24 |
| 1093177404 | Hereditary Care Center | Genetic Counselor, MS | 10941 Raven Ridge Rd, Suite 107, Raleigh, NC 27614-6487 | 2016-03-24 |
| 1225446800 | Courtney Yerxa | Genetic Counselor, MS | 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 | 2014-07-28 |
| 1093991390 | Amanda L Padro | Genetic Counselor, MS | 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657446 | Haley Hill | Genetic Counselor, MS | 520 N Elam Ave Ste B, Greensboro, NC 27403-1127 | 2020-07-24 |
| 1184232407 | Christina Lamaire | Genetic Counselor, MS | Medical Center Boulevard Occc 4th Floor, Winston Salem, NC 27157-0001 | 2020-07-22 |
| 1568093979 | Yezmin Lucia Perilla-young | Genetic Counselor, MS | 101 Manning Drive Genetics and Metabolism, Chapel Hill, NC 27599-0001 | 2020-02-04 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1285297739 | Patricia Anne Thompson | Genetic Counselor, MS | 600 New Waverly Pl Ste 305, Cary, NC 27518-7404 | 2019-04-19 |
| 1245725753 | Rachel Goldberg | Genetic Counselor, MS | 1 Medical Center Blvd Department of Medical Genetics, Winston Salem, NC 27157-0001 | 2018-06-27 |
| 1740703099 | Jinny Eun | Genetic Counselor, MS | 20 Duke Medicine Cir Ste 2-2, Durham, NC 27710-2000 | 2017-07-19 |
| 1427588243 | Mariah L Gleason | Genetic Counselor, MS | 1021 Morehead Medical Dr Ste 2300, Charlotte, NC 28204-2991 | 2017-06-14 |
| 1700334984 | Rachel Veazey | Genetic Counselor, MS | 101 Manning Dr Fl 1, Chapel Hill, NC 27514 | 2016-09-15 |
| 1710434709 | Mary Katherine Garbarini | Genetic Counselor, MS | Department of Genetics, Campus Box 7264, Chapel Hill, NC 27599-0001 | 2016-09-07 |
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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.