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
- Last updated
- Dec 2, 2021
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.