Active NPI
Natalie Elizabeth Vriesen, CGC
- Genetic Counselor (M.S.)
- Detroit, MI
National Provider Identifier
1417559261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 7201000018
- Practice address
- 3031 W Grand Blvd
Detroit, MI 48202-3046 - Phone
- (313) 916-6970
- Fax
- (313) 916-1730
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 7201000018 | MI | Primary |
Addresses
Primary practice location
3031 W Grand Blvd
Detroit, MI 48202-3046
Mailing address
3031 W Grand Blvd
Detroit, MI 48202-3046
Phone (313) 916-6970
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nvriese1@direct.hfhs.org | ||
| Direct Messaging Address | nvriesen599191@direct.hfhs.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7201000018 | MI | MD | Genetic Counselor (M.S.) |
Interoperability endpoints
- nvriesen599191@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1417559261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023046",
"telephone_number": "313-916-6970",
"fax_number": "313-916-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023046",
"telephone_number": "313-916-6970",
"fax_number": "313-916-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VRIESEN",
"first_name": "NATALIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CGC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MI",
"license": "7201000018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvriese1@direct.hfhs.org",
"affiliation": "N",
"address_1": "3031 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482023046",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvriesen599191@direct.hfhs.org",
"affiliation": "N",
"address_1": "3031 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482023046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.