MS. CANDACE SUH PETERSON (NPI# 1902078116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902078116 |
| Entity Type | Individual |
| Full Name | MS. CANDACE SUH PETERSON |
| Other Name | MS. CANDACE SUH CRESSMAN |
| Credential | MS, CGC |
| Practice Address |
1240 S Cedar Crest Blvd Allentown PA 18103-6369 |
| Practice Telephone | 6104029672 |
| Practice Fax Number | 6104022754 |
| Mailing Telephone | 6104029672 |
| Mailing Fax Number | 6104022754 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 2005219 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682526 | Candace L Peterson | Dentist | 18795 Sw Boones Ferry Rd, Tualatin, OR 97062-8412 | 2005-07-13 |
| 1124421771 | Candace Peterson | Occupational Therapist | 46200 Port St, Plymouth, MI 48170 | 2014-09-26 |
| 1992105886 | Candace Peterson | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2014-08-27 |
| 1730461195 | Candace Peterson | Registered Nurse | 10065 E Harvard Ave Ste 400, Denver, CO 80231-5943 | 2011-09-12 |
| Street Address |
1240 S CEDAR CREST BLVD |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829928 | Surendra Shantilal Shah | Internal Medicine | 1240 S Cedar Crest Blvd, Ste 305, Allentown, PA 18103-6218 | 2005-05-24 |
| 1922634211 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2020-03-18 |
| 1568941029 | Lehigh Valley Hospital | Clinic/Center | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2018-08-07 |
| 1770032252 | Laura Pritz | Physician Assistant | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2016-09-26 |
| 1871049106 | Devon Ervin | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-08-28 |
| 1881046522 | Samantha Carr | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-07-06 |
| 1770953309 | Kristen Wismer | Nurse Practitioner | 1240 S Cedar Crest Blvd, Ste 401, Allentown, PA 18103-6369 | 2015-09-25 |
| 1063891786 | Alicia Geneva Pratt | Nurse Practitioner | 1240 S Cedar Crest Blvd, Suite 208, Allentown, PA 18103-6369 | 2015-05-27 |
| 1992119440 | Roman Prosniak | Internal Medicine | 1240 S Cedar Crest Blvd, Allentown, PA 18103 | 2014-06-12 |
| 1871917658 | Lehigh Valley Physician Group | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 305, Allentown, PA 18103-6369 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| 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 |
|---|---|---|---|---|
| 1982880753 | Andrea Jean Smith | Genetic Counselor, MS | 1240 S Cedar Crest Blvd Ste 310, Allentown, PA 18103 | 2008-01-11 |
| 1801407739 | Jillian Tokarczyk | Genetic Counselor, MS | 3900 Hamilton Blvd Ste 201, Allentown, PA 18103-6122 | 2020-08-13 |
| 1922616978 | Briana Feirstein | Genetic Counselor, MS | 240 Cetronia Rd Ste 225s, Allentown, PA 18104-9701 | 2020-07-15 |
| 1316576952 | Jessica C Barry | Genetic Counselor, MS | 3900 Hamilton Blvd Ste 201, Allentown, PA 18103-6122 | 2020-04-06 |
| 1467973479 | Joshua M Stone | Genetic Counselor, MS | 3900 Hamilton Blvd Ste 201, Allentown, PA 18103-6122 | 2017-06-29 |
| 1871049106 | Devon Ervin | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-08-28 |
| 1881046522 | Samantha Carr | Genetic Counselor, MS | 1240 S Cedar Crest Blvd, 414, Allentown, PA 18103-6369 | 2016-07-06 |
| 1821275165 | Sara Robinson | Genetic Counselor, MS | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2008-01-29 |
| 1699754432 | Courtney Burans | Genetic Counselor, MS | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666526 | Derek Alexander Mann | Genetic Counselor, MS | 145 King of Prussia Rd, Radnor, PA 19087-4557 | 2020-10-12 |
| 1295340941 | Amanda Back | Genetic Counselor, MS | 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 | 2020-09-10 |
| 1093338790 | Gabrielle Teresa Shermanski | Genetic Counselor, MS | 190 Welles St Ste 198, Forty Fort, PA 18704-4968 | 2020-05-28 |
| 1306492137 | Dana Stolar | Genetic Counselor, MS | 4211 French St, Erie, PA 16504-2019 | 2019-08-16 |
| 1225690837 | Amanda Kathryn Schatzle | Genetic Counselor, MS | 824 Main St Ste 101, Phoenixville, PA 19460-4478 | 2019-07-03 |
| 1760049910 | Shelley Patrick | Genetic Counselor, MS | 201 Reiber Rd, Renfrew, PA 16053-9321 | 2019-05-23 |
| 1154817534 | Natalie Burrill | Genetic Counselor, MS | 3401 Civic Center Blvd # 6w59, Philadelphia, PA 19104-4319 | 2018-07-09 |
| 1689169906 | Seth Lascurain | Genetic Counselor, MS | 100 S. Second St., Suite 4b, Harrisburg, PA 17101 | 2018-06-28 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1679065643 | Elyse Nicole Ryan | Genetic Counselor, MS | Genetic Diagnostic Laboratory, 3620 Hamilton Walk, Anatomy & Chemistry Bldg, Rm 415, Philadelphia, PA 19104 | 2018-06-05 |
| 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.