Healthcare Provider Details
I. General information
NPI: 1053241042
Provider Name (Legal Business Name): MARTINNA GINA RAINERI TAPIES CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 W 10TH ST
INDIANAPOLIS IN
46202-3010
US
IV. Provider business mailing address
72 NORTH AVE # 2
BURLINGTON VT
05401-5219
US
V. Phone/Fax
- Phone: 317-278-0771
- Fax:
- Phone: 202-375-8154
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | GC809 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 801 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 344983 |
| License Number State | LA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 7201000584 |
| License Number State | MI |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 486 |
| License Number State | NE |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 25MJ00100100 |
| License Number State | NJ |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 14189108-3601 |
| License Number State | UT |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | 1546-61 |
| License Number State | WI |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | GCP-P-10255876 |
| License Number State | OR |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | GC001964 |
| License Number State | CA |
| # 11 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | G0000421 |
| License Number State | MD |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | GC2025-0008 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
