Active NPI
Shrutika Yeola, MMSC
- Genetic Counselor (M.S.)
- Atlanta, GA
National Provider Identifier
1952903874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 198
- Practice address
- 1100 Johnson Fy Rd NE
Atlanta, GA 30342-1709 - Phone
- (404) 531-4472
- NPI assigned
- Nov 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 198 | GA | Primary |
Addresses
Primary practice location
1100 Johnson Fy Rd NE
Atlanta, GA 30342-1709
Mailing address
1100 Johnson Fy Rd NE
Atlanta, GA 30342-1709
Phone (404) 531-4472
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shrutika.yeola@northside.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198 | GA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1952903874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 JOHNSON FY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-531-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 JOHNSON FY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421709",
"telephone_number": "404-531-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOLA",
"first_name": "SHRUTIKA",
"credential": "MMSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "GA",
"license": "198",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shrutika.yeola@northside.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1100 Johnson Fy Rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303421709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.