Stacey Koszut, M.S., C.G.C

Primary specialty

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

License

246.000048 Issued in IL

Practice address

360 Central Ave
Suite 1230
St Petersburg, FL 33701-3857

Phone

(800) 975-4819

Fax

(800) 930-0691

NPI assigned

Mar 4, 2008

Last updated

Jan 18, 2011By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1609046820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013857",
            "telephone_number": "800-975-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "address_2": "SUITE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013857",
            "telephone_number": "800-975-4819",
            "fax_number": "800-930-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSZUT",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "M.S., C.G.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246.000048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Nathaniel Kossiver, PA-C
• Paul A Kostamo, M.D.
• Martina Kostova, AP
• Sonia Kostova
• James Robert Kosydar, DDS
• David Kazimierz Koszyk, PT
• Erick Koszyk, EMT
• Nicholas A Kotch, D.O.
• Amanda Marie Kotolski, PH.D, OTR/L
• Spiro Kotsios, M.A., BCBA

• Genetic Counselor (M.S.) in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.