Active NPI
Caroline Suzanne Bertsch, MS, CGC
- Genetic Counselor (M.S.)
- Jacksonville, FL
National Provider Identifier
1437807542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 2054 Riverside Ave
Jacksonville, FL 32204-4428 - Phone
- (510) 831-3154
- NPI assigned
- Mar 17, 2022
- 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 | Primary |
Addresses
Primary practice location
2054 Riverside Ave
Jacksonville, FL 32204-4428
Mailing address
701 Gateway Blvd Ste 380
South San Francisco, CA 94080-7420
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genome Medical Services | Genetic Counselor, Ms | Current | Accepting new patients |
Locations
701 Gateway Blvd
Ste 380
South San Francisco, CA 94080
Phone (510) 831-2448
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Genetic Counselor (M.S.)
- South San Francisco, CA
- NPI 1407389695
Genetic Counselor, Ms
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1437807542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GATEWAY BLVD STE 380",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940807420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044428",
"telephone_number": "510-831-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTSCH",
"first_name": "CAROLINE",
"middle_name": "SUZANNE",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.