Clairissa Louise Kelso

Primary specialty

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

Practice address

Tufts House 2004 Ridgewood Drive
Atlanta, GA 30322-0001

Phone

(612) 221-3102

NPI assigned

Nov 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1134944747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S BROOKS ST APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151968",
            "telephone_number": "612-221-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS HOUSE 2004 RIDGEWOOD DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303220001",
            "telephone_number": "612-221-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "CLAIRISSA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Denise Kelly
• Leslie Kelman, M.D.,
• Elizabeth Eleanor Kelsey, PA-C
• Riba Kelsey, MD
• Charlotte Kelso, EDS, LATC
• Jennise M Kelson, CRNA
• Kem Health, LLC
• Olivia Denise Kemfort
• Dionne Georgiette Kemokai
• Alec Kemp, S-AA

• Genetic Counselor (M.S.) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.