Active NPI
Kate Parks Shane-Carson, MS, LGC
- Genetic Counselor (M.S.)
- Columbus, OH
National Provider Identifier
1548335151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 2001 Polaris Parkway
Ohio State University Clinical Cancer Genetics
Columbus, OH 43240 - Phone
- (614) 293-6694
- Fax
- (614) 293-2314
- NPI assigned
- Nov 21, 2006
- 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 | Primary |
Addresses
Primary practice location
2001 Polaris Parkway
Ohio State University Clinical Cancer Genetics
Columbus, OH 43240
Mailing address
2001 Polaris Parkway
Ohio State University Clinical Cancer Genetics
Columbus, OH 43240
Phone (614) 293-6694
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1548335151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 POLARIS PARKWAY",
"address_2": "OHIO STATE UNIVERSITY CLINICAL CANCER GENETICS",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43240",
"telephone_number": "614-293-6694",
"fax_number": "614-293-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 POLARIS PARKWAY",
"address_2": "OHIO STATE UNIVERSITY CLINICAL CANCER GENETICS",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43240",
"telephone_number": "614-293-6694",
"fax_number": "614-293-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANE-CARSON",
"first_name": "KATE",
"middle_name": "PARKS",
"name_prefix": "Mrs.",
"credential": "MS, LGC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.