Janessa Mladucky, CGC

Primary specialty

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

Practice address

4401 Harrison Blvd # 4600
Ogden, UT 84403-3195

Phone

(801) 387-4008

NPI assigned

Aug 12, 2019

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

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1922654490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N MAIN ST # A312",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD # 4600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-387-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLADUCKY",
        "first_name": "JANESSA",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby John Mitchell, PA-C
• Craig Tullis Mitchell, LCSW
• Dax Mitchell
• Emily Laree Mitchell, PT
• Tyler Mitchell
• MMPS Ogden
• Modern Dental Professionals Utah, PC
• Robert Clark Moesinger, MD
• Robert Lionel Moesinger, MD
• Bennett Mohlman, D.O.

• Genetic Counselor (M.S.) in Ogden, UT
• Providers in Ogden, 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 Aug 12, 2019; 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.