Individual provider Active NPI

Shanna Gabrielle Fisher Levy Seigel, CGC

  • Genetic Counselor (M.S.)
  • Memphis, TN
National Provider Identifier
1235726472
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
407 Issued in TN
Practice address
50 Humphreys Center Dr Ste 23
Memphis, TN 38120-2369
Phone
(901) 227-6000
Fax
(901) 226-0364
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X
Genetic Counselor (M.S.) 170300000X 407 TN Primary

Addresses

Primary practice location

50 Humphreys Center Dr Ste 23
Memphis, TN 38120-2369

Mailing address

4558 Kings Grant Dr
Memphis, TN 38125-3428

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
407TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1235726472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 KINGS GRANT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HUMPHREYS CENTER DR STE 23",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202369",
            "telephone_number": "901-227-6000",
            "fax_number": "901-226-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY SEIGEL",
        "first_name": "SHANNA",
        "middle_name": "GABRIELLE FISHER",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "TN",
            "license": "407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.