Genevieve Nicole Canning St-Martin, MS

Primary specialty

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

License

60802773 Issued in WA

Practice address

1003 S 5TH St
Tacoma, WA 98405-4210

Phone

(253) 403-1677

Fax

(253) 403-1676

NPI assigned

Nov 2, 2017

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

State licenses

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1255843041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 S 5TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054210",
            "telephone_number": "253-403-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S 5TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054210",
            "telephone_number": "253-403-1677",
            "fax_number": "253-403-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST-MARTIN",
        "first_name": "GENEVIEVE",
        "middle_name": "NICOLE CANNING",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "60802773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENETIC COUNSELOR PROVISIONAL LICENSE",
            "identifier": "60802773",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genetic Counselor (M.S.) in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Genetic Counselor (M.S.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.