MRS. LAUREN AHLES WALLACE (NPI# 1952689341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952689341 |
| Entity Type | Individual |
| Full Name | MRS. LAUREN AHLES WALLACE |
| Other Name | MS. LAUREN NICOLE AHLES |
| Credential | M.S. |
| Practice Address |
5121 S Cottonwood St Ste 100 Murray UT 84107-5701 |
| Practice Telephone | 8015077424 |
| Practice Fax Number | 8015077494 |
| Mailing Telephone | 8015077424 |
| Mailing Fax Number | 8015077494 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 8403569-3601 | UT | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8th Avenue and C Street, Salt Lake City, UT 841434600 | 8014083446 | 8014088758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215318241 | Lauren Wallace | Dentist | 1306 14th Ave Se, Decatur, AL 35601-4346 | 2015-06-16 |
| 1063828184 | Lauren Wallace | Family Medicine | 815 Main St Ste A, Peoria, IL 61602-1080 | 2014-07-09 |
| 1891924205 | Lauren F. Wallace | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1912034133 | Lauren Anne Wallace | Counselor | 232 E Canon Perdido St, Santa Barbara, CA 93101-2242 | 2007-02-27 |
| Street Address |
5121 S COTTONWOOD ST STE 100 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843110 | Rachel Holman | Genetic Counselor, MS | 5121 S Cottonwood St Ste 100, Murray, UT 84107-5701 | 2018-08-30 |
| 1487136057 | Lauren Renae Eekhoff | Genetic Counselor, MS | 5121 S Cottonwood St Ste 100, Murray, UT 84107-5701 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1386155380 | Carly Louise Rost | Genetic Counselor, MS | 5131 S Cottonwood St Bldg 3, Murray, UT 84107-5701 | 2017-10-17 |
| 1720508435 | Emily Marie Bonham | Genetic Counselor, MS | 5121 S Cottonwood St Bldg 3, Murray, UT 84107-5701 | 2017-06-23 |
| 1407204605 | Ivana Grbelja | Genetic Counselor, MS | 5121 S Cottonwood St Bldg 4l6, Murray, UT 84107-5701 | 2016-05-27 |
| 1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
| 1780201293 | Heather Patricia Nick | Genetic Counselor, MS | 5171 S Cottonwood St, Murray, UT 84107-5704 | 2020-06-30 |
| 1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
| 1558843110 | Rachel Holman | Genetic Counselor, MS | 5121 S Cottonwood St Ste 100, Murray, UT 84107-5701 | 2018-08-30 |
| 1487136057 | Lauren Renae Eekhoff | Genetic Counselor, MS | 5121 S Cottonwood St Ste 100, Murray, UT 84107-5701 | 2018-08-30 |
| 1104277664 | Heather Wiles Bagley | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-06-27 |
| 1417339714 | Laila Andoni | Genetic Counselor, MS | 5121 S Cottonwood St, Suite 100, Murray, UT 84107-5701 | 2015-06-23 |
| Find all providers in MURRAY | ||||
Please comment or provide details below to improve the information on MRS. LAUREN AHLES WALLACE.
| 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.