Individual provider Active NPI

Alysia Jean Tsuyuki, MS, LCGC

  • Genetic Counselor (M.S.)
  • Salt Lake City, UT
National Provider Identifier
1184973422
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
8390537-3602 Issued in UT
Practice address
615 S Arapeen Dr
#212
Salt Lake City, UT 84148-1267
Phone
(801) 582-1565
Fax
(801) 582-0385
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 8390537-3602 UT Primary

Addresses

Primary practice location

615 S Arapeen Dr
#212
Salt Lake City, UT 84148-1267

Mailing address

500 Foothill Dr
10P4E
Salt Lake City, UT 84148-0001
Phone (801) 582-1565

Other names 1

  • Alysia Jean Hildebrandt Former name

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

LicenseStateTypeSpecialty
8390537-3602UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1184973422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FOOTHILL DR",
            "address_2": "10P4E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841480001",
            "telephone_number": "801-582-1565",
            "fax_number": "801-582-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S ARAPEEN DR",
            "address_2": "#212",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841481267",
            "telephone_number": "801-582-1565",
            "fax_number": "801-582-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUYUKI",
        "first_name": "ALYSIA",
        "middle_name": "JEAN",
        "credential": "MS, LCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "8390537-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "HILDEBRANDT",
            "middle_name": "JEAN",
            "credential": "MS, LCGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.