JULIA WYNN (NPI# 1790377539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790377539 |
| Entity Type | Individual |
| Full Name | MRS. JULIA WYNN |
| Gender | Female |
| Credential | MS, CGC |
| Practice Address | 3959 Broadway # Bn7n718 New York NY 10032-1559 |
| Practice Telephone | 2123056731 |
| Mailing Address | 1150 Saint Nicholas Ave New York NY 10032-3822 |
| Mailing Telephone | 2123056987 |
| Certification Date | 2021-02-03 |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address | 3959 BROADWAY # BN7N718 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356932214 | Katia Rose Dergham | Genetic Counselor, MS | 3959 Broadway # Chn7, New York, NY 10032-1559 | 2021-02-02 |
| 1538750260 | Meredith Ross | Genetic Counselor, MS | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-01-26 |
| 1902496615 | Emily Griffin | Genetic Counselor, MS | 3959 Broadway # Bh-7n718, New York, NY 10032-1559 | 2021-01-26 |
| 1548850332 | Rebecca Hernan | Genetic Counselor, MS | 3959 Broadway # Chn718, New York, NY 10032-1559 | 2021-01-25 |
| 1508472002 | Taylor Durant | Counselor | 3959 Broadway Fl 12, New York, NY 10032-1559 | 2020-09-20 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner · Pediatrics | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1194387712 | Kimberly Alba | Psychologist | 3959 Broadway # Chony6, New York, NY 10032-1559 | 2019-07-03 |
| 1417518051 | Jennie Marie Mcallister-Spector · Jennie Marie Mcallister | Registered Nurse · Pediatrics | 3959 Broadway Rm 229n, New York, NY 10032-1559 | 2019-06-25 |
| 1497226658 | Claire Jacobs-Sims | Nurse Practitioner · Family | 3959 Broadway # Bhs701, New York, NY 10032-1559 | 2018-12-16 |
| 1831683093 | Sabrina Miranda I | Social Worker · Clinical | 3959 Broadway # 803, New York, NY 10032-1559 | 2018-06-20 |
| Find all providers in zip 10032-1559 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528659448 | Lori Quinn Dannheim · Lori Quinn | Physical Therapist · Neurology | 710 W 168th St., Neurological Institute, New York, NY 10032 | 2021-02-02 |
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'Neil | Physical Therapist · Pediatrics | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | 161 Fort Washington Ave 6th Tower. Columbus Heart and V, New York Presbyterian /Wilbur University Medical Center, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-Presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356932214 | Katia Rose Dergham | 3959 Broadway # Chn7, New York, NY 10032-1559 | 2021-02-02 | |
| 1538750260 | Meredith Ross | 3959 Broadway # Chn7-718, New York, NY 10032-1559 | 2021-01-26 | |
| 1902496615 | Emily Griffin | 3959 Broadway # Bh-7n718, New York, NY 10032-1559 | 2021-01-26 | |
| 1548850332 | Rebecca Hernan | 3959 Broadway # Chn718, New York, NY 10032-1559 | 2021-01-25 | |
| 1013575802 | Sarah Ellen Reiss | 210 E 68th St Ste 1d, New York, NY 10065-6024 | 2019-06-05 | |
| 1700351749 | Catherine Kentros | 523w 156th Apt2c, New York, NY 10032 | 2018-10-05 | |
| 1205328077 | Leyla Tabanfar | 3959 Broadway # Bhn718, New York, NY 10032-1559 | 2018-06-06 | |
| 1518477728 | Elizabeth Torosian Bazinet | 1000 10th Ave Ste 11a-08d, New York, NY 10019-1147 | 2017-10-03 | |
| 1184154924 | Megan Elizabeth Soucy | 635 W 165th St Rm 5-525, New York, NY 10032-3724 | 2017-06-14 | |
| 1245687920 | Pwn Health, LLC | 123 W 118th St, New York, NY 10026-1807 | 2016-05-23 | |
| Find all providers in NEW YORK | ||||
| City | NEW YORK |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366584559 | Wynn Optics Corp · Wynn Opitcs | Technician/Technologist · Optician | 167 Malcolm X Blvd, New York, NY 10026-1320 | 2007-02-13 |
| 1316254709 | Anita L Wynn · Lyn Wynn | Registered Nurse | 620 Skyline Drive, Jackson, TN 38301 | 2010-09-07 |
| 1568899011 | Courtney Wynn Regester · Courtney Janean Wynn | Speech-Language Pathologist | 8337 Counts Massie Rd, 102, North Little Rock, AR 72113-5376 | 2013-09-30 |
| 1780864603 | Maria Angela, Chandra Wynn · Chandra Wynn | Nurse Practitioner | 7950 Martin Loop, Fort Benning, GA 31905-5647 | 2007-11-08 |
| 1336204973 | Jamie Wynn Simon · Jamie Wynn Gilbertson | Registered Nurse | 2350 N Lake Dr, Suite 400, Milwaukee, WI 53211-4528 | 2006-12-26 |
| 1639117971 | Susan Wynn Roldan · Susan Wynn Glover | Occupational Therapist | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2006-06-02 |
| 1588214100 | Patricia Wynn · Patricia Bolds-Wynn | Contractor | 6822 Cowan Mill Rd, Winston, GA 30187-1533 | 2019-09-16 |
| 1467583013 | Julie Wynn Murray · Julie Wynn Mccain | Speech-Language Pathologist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2007-03-07 |
| 1053354019 | Julie Wynn Murphy · Julie Wynn Boskind | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Suite 202, Nashville, TN 37203-1401 | 2006-06-14 |
| 1437359866 | Toni Wynn Racoma · Toni Wynn Forrest | Optometrist | 427 N Loop 1604 W, Ste 203, San Antonio, TX 78232-1033 | 2007-07-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.