Brooke Elizabeth Richardson, MS, CGC

Primary specialty

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

License

20059

Practice address

2677 E Parleys Way
Salt Lake City, UT 84109-1617

Phone

(801) 931-6191

NPI assigned

Apr 8, 2022

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

Practice roles

Locations

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.

• Lineagen, Inc.

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1699095901
  NPD

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1659013894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 E PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091617",
            "telephone_number": "801-931-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 E PARLEYS WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091617",
            "telephone_number": "801-931-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": "20059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Richards, MD
• Victoria Riccardi Richards
• Zeke Richards, DO
• Alma Alean Richardson, SSW
• Amber Richardson
• Catherine Richardson, APC
• Crystal Ann Richardson, LCSW
• Jill Richardson, CNM
• Russell S Richardson, PH.D.
• Scott P. Richardson, MD

• 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 Jul 28, 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.

Verify at the official NPI Registry.