Active NPI
Kelly Johnston Branda, MS
- Genetic Counselor (M.S.)
- Boston, MA
National Provider Identifier
1609971753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 2002176
- Practice address
- 44 Binney St
Room SM 271 - Dana-Farber Cancer Institute
Boston, MA 02115-6013 - Phone
- (617) 632-5969
- Fax
- (617) 632-6811
- NPI assigned
- Sep 13, 2006
- 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 | 2002176 | MA | Primary |
Addresses
Primary practice location
44 Binney St
Room SM 271 - Dana-Farber Cancer Institute
Boston, MA 02115-6013
Mailing address
44 Binney St
Room SM 271 - Dana-Farber Cancer Institute
Boston, MA 02115-6013
Phone (617) 632-5969
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2002176 | MA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Informed Medical Decisions, Inc. | Genetic Counselor, Ms | Past | Accepting new patients |
Interoperability endpoints
- kelly.branda.1@29986.direct.athenahealth.com
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.)
- St Petersburg, FL
- NPI 1568633121
Genetic Counselor, Ms
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609971753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "ROOM SM 271 - DANA-FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156013",
"telephone_number": "617-632-5969",
"fax_number": "617-632-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 BINNEY ST",
"address_2": "ROOM SM 271 - DANA-FARBER CANCER INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156013",
"telephone_number": "617-632-5969",
"fax_number": "617-632-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDA",
"first_name": "KELLY",
"middle_name": "JOHNSTON",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MA",
"license": "2002176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.