Jilliane Elise Sotelo, MS, LCGC

Primary specialty

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

License

GC145 Issued in MA

Practice address

55 Lake Ave N # A3104
Worcester, MA 01655-0002

Phone

(774) 443-7646

Fax

(774) 442-3525

NPI assigned

Aug 26, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jilliane Elise Miller Former name

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1982038006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N # A3104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "774-443-7646",
            "fax_number": "774-442-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N # A3104",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "774-443-7646",
            "fax_number": "774-442-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "JILLIANE",
        "middle_name": "ELISE",
        "credential": "MS, LCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIANE",
            "last_name": "MILLER",
            "middle_name": "ELISE",
            "credential": "MS, LCGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jack Sorenson
• Igor Sorokin, M.D.
• Robert William Sorrenti, M.D.
• Ryan Sortino, ATC, LAT
• Isabella Sosa
• Ana B Soto-Andrews
• Altagracia Soto, MD, MPH
• Brichelle Soto
• Karina Eliza Soto, KARINA
• Yasmin A Soto, NP

• Genetic Counselor (M.S.) in Worcester, MA
• Providers in Worcester, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.