Active NPI
Kelly C. Donahue, M.S., C.G.C.
- Genetic Counselor (M.S.)
- Olympia, WA
National Provider Identifier
1902124233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GT60730580
- Practice address
- 2010 Caton Way SW Ste 102
Olympia, WA 98502-8201 - Phone
- (412) 200-5611
- Fax
- (844) 813-3892
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | |||
| Genetic Counselor (M.S.) | 170300000X | GT60730580 | WA | Primary |
Addresses
Primary practice location
2010 Caton Way SW Ste 102
Olympia, WA 98502-8201
Mailing address
136 Marlin Dr E
Pittsburgh, PA 15216-1406
Phone (412) 849-6611
Other practice location 1
505 NE 87th Ave Ste 160
Vancouver, WA 98664-1965
Phone (360) 514-1060
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 |
|---|---|---|---|
| GT60730580 | WA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1902124233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 MARLIN DR E",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152161406",
"telephone_number": "412-849-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 CATON WAY SW STE 102",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028201",
"telephone_number": "412-200-5611",
"fax_number": "844-813-3892"
}
],
"practiceLocations": [
{
"address_1": "505 NE 87th Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-514-1060",
"fax_number": "360-514-1065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONAHUE",
"first_name": "KELLY",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "M.S., C.G.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": false
},
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WA",
"license": "GT60730580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.