MRS. KELLY DYAN NELSON (NPI# 1164682845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164682845 |
| Entity Type | Individual |
| Full Name | MRS. KELLY DYAN NELSON |
| Practice Address |
10606 Sycamore Grn Louisville KY 40223-2945 |
| Practice Telephone | 5027244960 |
| Mailing Telephone | 5027244960 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-02-28 |
| 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 |
|---|---|---|---|---|
| 1720639917 | Kelly Marie Nelson | Counselor | 205 Delway St Unit A, Raleigh, NC 27604-1131 | 2019-09-27 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1114301892 | Kelly Nelson | Speech-Language Pathologist | 847 N Marshfield Ave # 1f, Chicago, IL 60622-5132 | 2015-07-13 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1417223371 | Kelly M Nelson | Social Worker | 11708 Wayzata Blvd, Minnetonka, MN 55305-2014 | 2012-03-26 |
| 1881826717 | Kelly Nelson | Occupational Therapist | 3124 Cambridge Cir, Allentown, PA 18104-2827 | 2009-08-11 |
| 1679638977 | Kelly Cobb Nelson | Occupational Therapist | 1203 Bombay Ln, Roswell, GA 30076-5822 | 2006-12-27 |
| 1265032643 | Kelly Nelson | Pharmacist | 10270 Front Beach Rd, Panama City Beach, FL 32407-3808 | 2020-10-27 |
| 1164081451 | Kelly Ann Nelson | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2019-06-10 |
| 1598231342 | Kelly Arbor Nelson | Physical Therapist | 407 East Third Street, Duluth, MN 55805-1950 | 2018-10-19 |
| Street Address |
10606 SYCAMORE GRN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407206683 | Kelly Nelson LLC | Early Intervention Provider Agency | 10606 Sycamore Grn, Louisville, KY 40223-2945 | 2016-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 |
|---|---|---|---|---|
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1083268775 | Kathryn Lucinda Lawrence Geary | Developmental Therapist | 6701 Falling Star Dr, Louisville, KY 40272-3609 | 2019-07-31 |
| 1528629524 | Sonya Renee Smith | Developmental Therapist | 4614 Southcrest Dr, Louisville, KY 40215-2431 | 2019-06-21 |
| 1134682370 | Johnna Callie Maggard | Developmental Therapist | 9308 Marse Henry Dr, Louisville, KY 40299-1139 | 2019-04-12 |
| 1609332212 | Sarah Mills | Developmental Therapist | 9630 Riverwalk Ave, Louisville, KY 40229-5225 | 2019-02-19 |
| 1265924427 | Skillz 4 Life Therapy, LLC | Developmental Therapist | 2001 W Broadway Ste 7, Louisville, KY 40203-3599 | 2018-06-04 |
| 1356846836 | Catherine Dircksen | Developmental Therapist | 7004 Harvest Gold Way Apt 3, Louisville, KY 40291-5759 | 2018-03-27 |
| 1861902470 | Amanda Jo Horvet | Developmental Therapist | 450 Ridge Rd, Louisville, IL 62858-2329 | 2017-10-09 |
| 1043738040 | Juanita Hall-miles | Developmental Therapist | Visually Impaired Preschool Services, 1906 Goldsmith Lane, Louisville, KY 40218 | 2017-08-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.