Provider Type Icon

MS. THERESA ANN BOOMER MS NPI 1205111499


NPI Information

NPI: 1205111499
Provider Name: MS. THERESA ANN BOOMER, MS
Classification: Genetic Counselor, MS - 170300000X
Entity Type: Individual
Address:
4 PINE RIDGE CIR
CLANCY, MT
ZIP 59634
Phone: (406) 422-0411
Get Directions

MS. Theresa Ann Boomer, MS is a genetic counselor ms in Clancy, MT. The provider is 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. MS. Theresa Ann Boomer, MS NPI is 1205111499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 PINE RIDGE CIR
CLANCY, MT
ZIP 59634-760
Phone: (406) 422-0411

The enumeration date for this NPI number is 10/19/2011 and was last updated on 10/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1170300000XGenetic Counselor, MSGC0000000027TENNESSEENo
2170300000XGenetic Counselor, MS246.000083ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1246.000083OTHERILLINOISLICENSED GENETIC COUNSELOR
2GC0000000027OTHERTENNESSEELICENSED GENETIC COUNSELOR
32002038OTHERMONTANAAMERICAN BOARD OF GENETIC COUNELING CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.