Emily Bistline, MS, LCGC

Primary specialty

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

License

456 Issued in CT

Practice address

333 Cedar St
New Haven, CT 06510-3206

Phone

(267) 732-3627

NPI assigned

Oct 14, 2021

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

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1700549060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "267-732-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTLINE",
        "first_name": "EMILY",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CT",
            "license": "456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beselot Birhanu, MD
• Alyssa Birmingham, RDH
• Alina M Bischin, MD
• Evan Led Bishop, PHARMD
• Matthew Ryan Bishop, CRNA
• Rohan Biswas, MD, PHD
• Ryan Bitar, MD
• Rahisha Adrion Bivens, LCSW
• Marissa Ann Bivona, PHD
• Samantha Bixby

• Genetic Counselor (M.S.) in New Haven, CT
• Providers in New Haven, CT by specialty
• Genetic Counselor (M.S.) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.