AMANDA KELLEY (NPI# 1124274592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124274592 |
| Entity Type | Individual |
| Full Name | AMANDA KELLEY |
| Credential | AAS |
| Practice Address |
48 Meadowview Ct Campbellsville KY 42718-1100 |
| Mailing Address |
48 Meadowview Ct Campbellsville KY 42718-1030 |
| Practice Telephone | 2704651072 |
| Mailing Telephone | 2704651072 |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | FIRST STEPS | 1453 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235528878 | Amanda Kelley | Pharmacist | 2822 Indianwood Way, Sarasota, FL 34232-6013 | 2015-01-20 |
| 1801146220 | Amanda Kelley | Occupational Therapist | 4343 Loyola Ave, Alexandria, VA 22304-1033 | 2012-09-13 |
| 1790068377 | Amanda Kerr Kelley | Pharmacist | 922 E Mainst, Pharmacy, Laurens, SC 29360-3616 | 2011-09-21 |
| 1245840438 | Amanda Kelley | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2020-08-03 |
| 1386296937 | Amanda Elizabeth Kelley | Specialist/Technologist | 330 River Rd, Athens, GA 30602-1501 | 2019-07-14 |
| 1023587524 | Amanda H Kelley | Social Worker | 110 N Drew St, Star City, AR 71667 | 2018-11-14 |
| 1356839047 | Amanda Kelley | Behavior Technician | 17595 Almahurst St Ste 100a, City of Industry, CA 91748-1792 | 2018-04-27 |
| 1215484183 | Amanda Kelley | Counselor | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2016-09-07 |
| 1740657436 | Amanda Kelley | Case Manager/Care Coordinator | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2015-08-28 |
| 1124461017 | Amanda Christina Kelley | Hearing Instrument Specialist | 1401 Harrodsburg Rd, C-212, Lexington, KY 40504-3751 | 2013-04-10 |
| Street Address |
48 MEADOWVIEW CT |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| 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 |
|---|---|---|---|---|
| 1760822902 | Crystal Warren | Developmental Therapist | 3257 Old Lebanon Rd, Campbellsville, KY 42718-9675 | 2013-07-02 |
| 1336589605 | Shannon Denise Richardson | Developmental Therapist | 78 Cherwood Dr, Campbellsville, KY 42718-8728 | 2013-07-01 |
| 1326480674 | Amanda Gail Greer | Developmental Therapist | 412 W Main St, Campbellsville, KY 42718-2408 | 2013-07-26 |
| 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 | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.