Active NPI
Julia Abigail Wilkinson, MS, CGC
- Genetic Counselor (M.S.)
- Worcester, MA
National Provider Identifier
1063605087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC44
- Practice address
- 55 Lake Ave N
Umass Memorial Medical Center - Pediatrics/Genetics
Worcester, MA 01655-0002 - Phone
- (774) 442-3746
- Fax
- (774) 442-3525
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GC44 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Umass Memorial Medical Center - Pediatrics/Genetics
Worcester, MA 01655-0002
Mailing address
55 Lake Ave N
Umass Memorial Medical Center - Pediatrics/Genetics
Worcester, MA 01655-0002
Phone (774) 442-3746
Other names 1
- Julia Abigail Keene
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 |
|---|---|---|---|
| GC44 | MA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1063605087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "UMASS MEMORIAL MEDICAL CENTER - PEDIATRICS/GENETICS",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "774-442-3746",
"fax_number": "774-442-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "UMASS MEMORIAL MEDICAL CENTER - PEDIATRICS/GENETICS",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "774-442-3746",
"fax_number": "774-442-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "JULIA",
"middle_name": "ABIGAIL",
"name_prefix": "Mrs.",
"credential": "MS, CGC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MA",
"license": "GC44",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "KEENE",
"middle_name": "ABIGAIL",
"credential": "MS, CGC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.