Amanda Lynn Laedtke, MS, CGC

Primary specialty

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

License

15833 Issued in WI

Practice address

9000 W Wisconsin Ave
Ms 716
Milwaukee, WI 53226-4874

Phone

(414) 266-6722

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1306181581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9938 VIEW RIDGE LN",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549619109",
            "telephone_number": "920-378-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MS 716",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAEDTKE",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": "15833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladies Empowered With Resources
• Abigail Lading, MSW, APSW
• John Ladisa
• Daniel A. Ladwig, M.D.
• Renee Joanne Ladwig, CNS, LMFT
• Wesley Lafferty, MD
• Ryan Christopher Laffin
• Sarah P Lafollette, LCSW
• Michelle Laga
• Joanne Marie Lagatta, M.D.

• Genetic Counselor (M.S.) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Genetic Counselor (M.S.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.