Active NPI
Charlene Joan Schulz, M.S., DRPH
- Genetic Counselor (M.S.)
- Madison, WI
National Provider Identifier
1023068442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 1074-61
- Practice address
- 4621 Eastpark Blvd
Madison, WI 53718-2000 - Phone
- (608) 504-4286
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 93134 | NY | |
| Genetic Counselor (M.S.) | 170300000X | 1074-61 | WI | Primary |
Addresses
Primary practice location
4621 Eastpark Blvd
Madison, WI 53718-2000
Mailing address
301 S Yellowstone Dr Apt 108
Madison, WI 53705-4354
Phone (917) 951-8028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93134 | NY | MD | Genetic Counselor (M.S.) |
| 1074-61 | WI | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1023068442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S YELLOWSTONE DR APT 108",
"city": "MADISON",
"state": "WI",
"postal_code": "537054354",
"telephone_number": "917-951-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 EASTPARK BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537182000",
"telephone_number": "608-504-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "CHARLENE",
"middle_name": "JOAN",
"name_prefix": "Prof.",
"credential": "M.S., DRPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NY",
"license": "93134",
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WI",
"license": "1074-61",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.