Tracy Futch, PH.D, M.S, CGC

Primary specialty

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

Practice address

1912 Alexander Drive
Genetic Services
Research Triangle Park, NC 27709

Phone

(919) 361-7790

NPI assigned

Oct 20, 2006

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, Doctor of Philosophy

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124101688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 PEACHWAY DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055392",
            "telephone_number": "919-361-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 ALEXANDER DRIVE",
            "address_2": "GENETIC SERVICES",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "27709",
            "telephone_number": "919-361-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTCH",
        "first_name": "TRACY",
        "credential": "PH.D, M.S, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "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": "ABGC CERTIFICATION",
            "identifier": "2005092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genetic Counselor (M.S.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.