MRS. LATISHA SHANTA LEWIS (NPI# 1013297431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013297431 |
| Entity Type | Individual |
| Full Name | MRS. LATISHA SHANTA LEWIS |
| Credential | M.A.T. |
| Practice Address |
1948 Richmond Springs Ln Belleville IL 62220-3283 |
| Practice Telephone | 6184024319 |
| Practice Fax Number | 6188250210 |
| Mailing Telephone | 6184024319 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | L200-5377-9925 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965867 | Latisha Lynn Lewis | Counselor | 211 N Whitfield St, Suite 770, Pittsburgh, PA 15206-3039 | 2012-09-20 |
| Street Address |
1948 RICHMOND SPRINGS LN |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841732435 | Mary Buehler | Developmental Therapist | 8412 Hillview Dr, Belleville, IL 62223-4054 | 2016-11-14 |
| 1225488539 | Kelly Collier | Developmental Therapist | 1859 Galway Dr, Belleville, IL 62221-8001 | 2016-06-16 |
| 1235590100 | Chea Wyatt | Developmental Therapist | 112 Chevy Chase Dr, Belleville, IL 62223-4120 | 2016-03-18 |
| 1427388818 | Emily Ann Wittenauer | Developmental Therapist | 2306 E Main St, Belleville, IL 62221-5026 | 2010-01-06 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1144474537 | Betty Lee Croissant | Developmental Therapist | 17 N 37th St, Belleville, IL 62226-6008 | 2008-11-11 |
| 1114196433 | Sarah Christine Saettele | Developmental Therapist | 8118 W A St, Belleville, IL 62223-2408 | 2008-02-21 |
| 1508067158 | Christine Marie Dunlap | Developmental Therapist | 3304 Seven Pines Dr, Belleville, IL 62221-6638 | 2007-05-30 |
| 1821216359 | Diane Carrie Warfield | Developmental Therapist | 2821 Fairway Dr, Belleville, IL 62220-4868 | 2007-04-22 |
| 1801919022 | Carla Evonne Bouc | Developmental Therapist | 812 S Virginia Ave, Belleville, IL 62220-3689 | 2007-04-10 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.