JANESSA MLADUCKY (NPI# 1922654490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922654490 |
| Entity Type | Individual |
| Full Name | JANESSA MLADUCKY |
| Credential | CGC |
| Practice Address |
4401 Harrison Blvd # 4600 Ogden UT 84403-3195 |
| Mailing Address |
247 N Main St # A312 Salt Lake City UT 84103-4684 |
| Practice Telephone | 8013874008 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| 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 |
4401 HARRISON BLVD # 4600 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| 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 |
|---|---|---|---|---|
| 1316495468 | Nykole Sutherland | Genetic Counselor, MS | 4401 Harrison Blvd, Radiation/oncology, Ogden, UT 84403-3195 | 2016-09-19 |
| 1376990580 | Hannah Suzanne Schuster | Genetic Counselor, MS | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836228 | Erin Heckaman | Genetic Counselor, MS | 310 E 1650 S, Bountiful, UT 84010-4020 | 2019-11-21 |
| 1558915033 | Andrea Joann Stoddard | Genetic Counselor, MS | 500 Foothill Dr # 10p11, Salt Lake City, UT 84148-0001 | 2019-08-01 |
| 1215419817 | Jessica Ann Goldsberry | Genetic Counselor, MS | 600 S Medical Center Dr, St George, UT 84790-7017 | 2018-08-30 |
| 1740768241 | Dana Lin Jarvis | Genetic Counselor, MS | 615 S Arapeen Dr Ste 212, Salt Lake City, UT 84108-1267 | 2018-08-06 |
| 1871070094 | Nina Camille Hann | Genetic Counselor, MS | 615 Arapeen Drive Ste 212, Office 2a04, Salt Lake City, UT 84148-1267 | 2018-07-20 |
| 1386155380 | Carly Louise Rost | Genetic Counselor, MS | 5131 S Cottonwood St Bldg 3, Murray, UT 84107-5701 | 2017-10-17 |
| 1346769536 | Jennie Vagher | Genetic Counselor, MS | 2000 Circle of Hope Dr Rm 1719.1, Slc, UT 84112-5550 | 2017-09-19 |
| 1720508435 | Emily Marie Bonham | Genetic Counselor, MS | 5121 S Cottonwood St Bldg 3, Murray, UT 84107-5701 | 2017-06-23 |
| 1053860932 | Audrey Rutz | Genetic Counselor, MS | Division Pediatric Genetics, 50 North Mario Capecchi Drive, Salt Lake City, UT 84132-0001 | 2016-10-03 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 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.