Individual provider Active NPI

Carly Louise Rost, MS, LCGC

  • Genetic Counselor (M.S.)
  • Murray, UT
National Provider Identifier
1386155380
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
10466385-3602 Issued in UT
Practice address
5131 S Cottonwood St BLDG 3
Murray, UT 84107-5701
Phone
(801) 507-4048
Fax
(801) 507-3998
NPI assigned
Oct 17, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 10466385-3602 UT Primary

Addresses

Primary practice location

5131 S Cottonwood St BLDG 3
Murray, UT 84107-5701

Mailing address

5131 S Cottonwood Street
Building 3, Level 3
Murray, UT 84107
Phone (801) 507-4048

Other practice location 1

544 S 400 E
St George, UT 84770-3705
Phone (801) 507-4048

Other practice location 2

5169 S Cottonwood St Ste 610
Murray, UT 84107-6771
Phone (801) 507-4048

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
10466385-3602UTMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386155380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 S COTTONWOOD STREET",
            "address_2": "BUILDING 3, LEVEL 3",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-507-4048",
            "fax_number": "801-507-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 S COTTONWOOD ST BLDG 3",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-4048",
            "fax_number": "801-507-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 S 400 E",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847703705",
            "country_code": "US",
            "telephone_number": "801-507-4048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5169 S Cottonwood St Ste 610",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076771",
            "country_code": "US",
            "telephone_number": "801-507-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROST",
        "first_name": "CARLY",
        "middle_name": "LOUISE",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "10466385-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.