CRISTY LYNN ROARK (NPI# 1124206172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124206172 |
| Entity Type | Individual |
| Full Name | CRISTY LYNN ROARK |
| Credential | DI |
| Practice Address |
3086 Pine Top Rd London KY 40741-9247 |
| Practice Telephone | 6068130265 |
| Practice Fax Number | 6068779712 |
| Mailing Telephone | 6068130265 |
| Mailing Fax Number | 6068779712 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| 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 |
| Street Address |
3086 PINE TOP RD |
| City | LONDON |
| State | KY |
| Zip Code | 40741-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| 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 |
|---|---|---|---|---|
| 1750886875 | Felica Monday | Developmental Therapist | 116 Pearl St, London, KY 40741-1350 | 2018-03-29 |
| 1861931651 | Gwendolyn Ray | Developmental Therapist | 79 Terran Ln, London, KY 40744-6449 | 2017-02-14 |
| 1346667102 | Amanda Carnes | Developmental Therapist | 28 Avian Ln, London, KY 40744-8960 | 2014-03-18 |
| 1396088621 | Jennifer Denise Riley | Developmental Therapist | 904 Rocky Branch Rd, London, KY 40744-9382 | 2013-04-04 |
| 1902103351 | Buffey Vashay Steele | Developmental Therapist | 361 Levi Jackson Mill Rd, London, KY 40744-8325 | 2011-02-22 |
| 1407153117 | Amanda Jeanne Garland | Developmental Therapist | 511 Sulfridge Farm Rd, London, KY 40741-8510 | 2011-02-15 |
| 1134324858 | Cynthia Vaughn Collier | Developmental Therapist | 8151 Mcwhorter Rd, London, KY 40741-8720 | 2007-06-21 |
| 1407979354 | Brenda Sue Muncy | Developmental Therapist | 183 Grand View Dr, London, KY 40741-6739 | 2007-04-07 |
| 1104953595 | Julia Ann Baker | Developmental Therapist | 1352 Laurel Lake Rd N, London, KY 40744-8827 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1396379194 | Lori Allen | Developmental Therapist | 717 Carolyn St, Radcliff, KY 40160-1719 | 2020-03-02 |
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1194365494 | Ruthann Smith | Developmental Therapist | 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 | 2020-01-14 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1336788306 | Hillary Brown | Developmental Therapist | 150 Hickory Dr, Madisonville, KY 42431-5843 | 2019-12-23 |
| 1730727330 | Megan Cantrell | Developmental Therapist | 6441 South Hwy, Salt Lick, KY 40371 | 2019-12-13 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1285272039 | Beth Mccord | Developmental Therapist | 5028 Main St, Mayslick, KY 41055-8725 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.