Active NPI
Beth Rosen Sheidley, MS, CGC
- Genetic Counselor (M.S.)
- Boston, MA
National Provider Identifier
1629587134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC021
- Practice address
- 3 Blackfan Cir
Boston, MA 02115-5713 - Phone
- (857) 218-5533
- NPI assigned
- Sep 27, 2017
- 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 | GC021 | MA | Primary |
Addresses
Primary practice location
3 Blackfan Cir
Boston, MA 02115-5713
Mailing address
Boston Children'S Hospital, Department of Neurology
3 Blackfan Circle, Mail Stop Bch3149/CLS 14008
Boston, MA 02115-5713
Phone (857) 218-5533
Other practice location 1
Boston Children's Hospital, Department of Neurology
300 Longwood Avenue, Fegan 9
Boston, MA 02115-5713
Phone (857) 218-5533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC021 | Other | MA | BOARD OF REGISTRATION OF GENETIC COUNSELORS, COMMONWEALTH OF MA |
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 |
|---|---|---|---|
| GC021 | MA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629587134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOSTON CHILDREN'S HOSPITAL, DEPARTMENT OF NEUROLOGY",
"address_2": "3 BLACKFAN CIRCLE, MAIL STOP BCH3149/CLS 14008",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155713",
"telephone_number": "857-218-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BLACKFAN CIR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155713",
"telephone_number": "857-218-5533"
}
],
"practiceLocations": [
{
"address_1": "Boston Children's Hospital, Department of Neurology",
"address_2": "300 Longwood Avenue, Fegan 9",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155713",
"country_code": "US",
"telephone_number": "857-218-5533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEIDLEY",
"first_name": "BETH",
"middle_name": "ROSEN",
"name_prefix": "Ms.",
"credential": "MS, CGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "MA",
"license": "GC021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTRATION OF GENETIC COUNSELORS, COMMONWEALTH OF MA",
"identifier": "GC021",
"state": "MA"
}
],
"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 21, 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.