Chantal Nicole Kelly, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1912 TW Alexander Dr
Research Triangle Park, NC 27709-0007

Phone

(800) 533-0567

Fax

(919) 361-7798

NPI assigned

Apr 9, 2010

Last updated

Apr 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1023334430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 TW ALEXANDER DRIVE",
            "address_2": "CENTER FOR MOLECULAR BIOLOGY AND PATHOLOGY",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277090005",
            "telephone_number": "800-533-0567",
            "fax_number": "919-361-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 TW ALEXANDER DR",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277090007",
            "telephone_number": "800-533-0567",
            "fax_number": "919-361-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHANTAL",
        "middle_name": "NICOLE",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF GENETIC COUNSELING",
            "identifier": "12471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genetic Counselor (M.S.) in Research Triangle Park, NC
• Providers in Research Triangle Park, NC by specialty
• Genetic Counselor (M.S.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.