Individual provider Active NPI

Jennah C Foltz, CGC

  • Genetic Counselor (M.S.)
  • Indianapolis, IN
National Provider Identifier
1194454728
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
99112009A Issued in IN
Practice address
575 Riley Hospital Dr # 3
Indianapolis, IN 46202-5272
Phone
(317) 944-3966
Fax
(317) 968-1354
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 99112009A IN Primary

Addresses

Primary practice location

575 Riley Hospital Dr # 3
Indianapolis, IN 46202-5272

Mailing address

575 Riley Hospital Dr # 3
Indianapolis, IN 46202-5272
Phone (317) 944-3966

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 Arts

State licenses

LicenseStateTypeSpecialty
99112009AINMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Past Accepting new patients
University Family Physicians, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1194454728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RILEY HOSPITAL DR # 3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025272",
            "telephone_number": "317-944-3966",
            "fax_number": "317-968-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RILEY HOSPITAL DR # 3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025272",
            "telephone_number": "317-944-3966",
            "fax_number": "317-968-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "JENNAH",
        "middle_name": "C",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IN",
            "license": "99112009A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.