Emily Kaitlin Anderson, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

801 Broadway Ave NW Ste 203
Grand Rapids, MI 49504-4463

Phone

(855) 776-9436

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1578284915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 S GRAYSTONE AVE UNIT 7",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088576",
            "telephone_number": "303-507-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY AVE NW STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044463",
            "telephone_number": "855-776-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "middle_name": "KAITLIN",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Michael Anderson, M.D.
• Dana Kay Anderson, MA, LLPC
• Elise Anderson, MD
• Elizabeth Joanne Anderson, PA-C
• Emily Anderson, SLP
• Gary Alfred Anderson, O.D.
• Hannah Louise Anderson
• Jaxyn Jadore Kendrick Anderson
• Jeffrey Alan Anderson, PA-C
• John G Anderson, MD

• All providers in Grand Rapids, MI
• Genetic Counselor (M.S.) in Michigan

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

Verify at the official NPI Registry.