MISS MARY KATHLEEN FAULKNER (NPI# 1033312319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033312319 |
| Entity Type | Individual |
| Full Name | MISS MARY KATHLEEN FAULKNER |
| Practice Address |
2204 N 22nd St Lafayette IN 47904-1511 |
| Practice Telephone | 7654902049 |
| Practice Fax Number | 7654234146 |
| Mailing Telephone | 7654902049 |
| Mailing Fax Number | 7654234146 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497287767 | Mary Faulkner | Occupational Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2017-03-28 |
| 1790069284 | Mary Jo Faulkner | Pharmacist | 13992 Manchester Rd, Ballwin, MO 63011-4517 | 2011-10-04 |
| 1811088487 | Mary Faulkner | Social Worker | 2601 13th St, Port Huron, MI 48060-6546 | 2006-09-27 |
| 1912964842 | Mary Faulkner | Nurse Practitioner | 350 30th St, Suite 205, Oakland, CA 94609-3424 | 2006-04-26 |
| Street Address |
2204 N 22ND ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| 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 |
|---|---|---|---|---|
| 1437712650 | Penny Turner-bertsche | Developmental Therapist | 1817 Whisper Valley Dr, Lafayette, IN 47909-8061 | 2019-04-15 |
| 1386102945 | Jennifer Dimmitt | Developmental Therapist | 4734 Osprey Dr E, Lafayette, IN 47909-8188 | 2019-03-03 |
| 1679047757 | Mackenzie Nicole Tromble | Developmental Therapist | 802 N 9th St Apt 14, Lafayette, IN 47904-1982 | 2019-01-11 |
| 1114494523 | Karen Mahoney | Developmental Therapist | 2340 N 20th St, Lafayette, IN 47904-1156 | 2018-10-24 |
| 1396227567 | Jama Lyn Ford | Developmental Therapist | 4792 Masons Ridge Rd, Lafayette, IN 47909-8425 | 2018-09-04 |
| 1164635371 | Jessica R. Shockey | Developmental Therapist | 1000 N 6th St Apt 3, Lafayette, IN 47904-4033 | 2007-05-07 |
| 1710591094 | Isabel Grace Ward | Developmental Therapist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-09-03 |
| 1447877832 | Emma Rosa Giron | Developmental Therapist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-07-01 |
| 1588288070 | Kayla Holloway | Developmental Therapist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-06-01 |
| 1215557343 | Morgan Ullmer | Developmental Therapist | 216 N 5th St, Lafayette, IN 47901-2811 | 2020-04-18 |
| Find all providers in LAFAYETTE | ||||
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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.