Organization Active NPI

My Genetic Ally LLC

  • Genetic Counselor (M.S.)
  • Minneapolis, MN
National Provider Identifier
1639615156
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
246000223 Issued in IL
Legal business name
MY GENETIC ALLY LLC
Practice address
602 N 1St St Apt 714
Minneapolis, MN 55401-2251
Phone
(507) 351-9581
NPI assigned
Jan 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

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

Authorized official

Name
Amber Volk
Title
Genetic Counselor
Phone
(507) 351-9581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193200000X MULTI-SPECIALTY GROUP 170300000X 246000223 IL Primary

Addresses

Primary practice location

602 N 1St St Apt 714
Minneapolis, MN 55401-2251

Mailing address

602 N 1St St Apt 714
Minneapolis, MN 55401-2251
Phone (507) 351-9581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1639615156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N 1ST ST APT 714",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012251",
            "telephone_number": "507-351-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 1ST ST APT 714",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012251",
            "telephone_number": "507-351-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GENETIC ALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-07",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "507-351-9581"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; 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.