Elise Garza Austin, M.S.

Primary specialty

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

License

9187325-3601 Issued in UT

Practice address

1140 E 3900 S
St. Mark's Women's Diagnostic Center
Salt Lake City, UT 84124

Phone

(801) 743-6509

Fax

(801) 951-4919

NPI assigned

Dec 5, 2014

Last updated

Jan 27, 2023By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lineagen, Inc.

  dba Bionano Laboratories

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1699095901
  NPD (past)
• Lineagen, Inc.

  dba Bionano Laboratories

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1356123418
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1629476775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "address_2": "CANCER GENETICS PROGRAM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-743-6509",
            "fax_number": "801-951-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "ST. MARK'S WOMEN'S DIAGNOSTIC CENTER",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-743-6509",
            "fax_number": "801-951-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ELISE",
        "middle_name": "GARZA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "UT",
            "license": "9187325-3601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Med Group Inc
• Julia R Austin-Prime
• Brooke Anabel Austin
• Cy Jedd Austin
• Don R Austin, LCSW
• Emily Grace Austin, DDS
• F Richard Austin, DDS
• Isabel Austin
• John Michael Austin, MD
• Michael Reed Austin

• Genetic Counselor (M.S.) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Genetic Counselor (M.S.) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.