Active NPI
Carly Louise Rost, MS, LCGC
- Genetic Counselor (M.S.)
- Murray, UT
National Provider Identifier
1386155380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 10466385-3602
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10466385-3602 | UT | MD | Genetic 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.