Individual provider Active NPI

Kathryn Ann Charyk, MS

  • Genetic Counselor (M.S.)
  • Austin, TX
National Provider Identifier
1447532569
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
80333115-3602 Issued in UT
Practice address
823 Congress Ave Ste 1200
Austin, TX 78701-2402
Phone
(888) 494-7333
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 0420 SD
Genetic Counselor (M.S.) 170300000X GEN-GEN-LIC-000482 MT
Genetic Counselor (M.S.) 170300000X GC-595 FL
Genetic Counselor (M.S.) 170300000X 80333115-3602 UT Primary

Addresses

Primary practice location

823 Congress Ave Ste 1200
Austin, TX 78701-2402

Mailing address

823 Congress Ave Ste 1200
Austin, TX 78701-2402

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
GC-595FLMDGenetic Counselor (M.S.)
GEN-GEN-LIC-000482MTMDGenetic Counselor (M.S.)
80333115-3602UTMDGenetic Counselor (M.S.)

Interoperability endpoints

  • Direct secure messaging: kate.charyk.1@29986.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1447532569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CONGRESS AVE STE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CONGRESS AVE STE 1200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012402",
            "telephone_number": "888-494-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARYK",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "SD",
            "license": "0420",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MT",
            "license": "GEN-GEN-LIC-000482",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "FL",
            "license": "GC-595",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "80333115-3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.