MICHELLE LYNN KETTERER (NPI# 1164775417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164775417 |
Entity Type | Individual |
Full Name | MICHELLE LYNN KETTERER |
Other Name | MICHELLE LYNN CARAVELLI |
Practice Address |
1330 Hollins St Saint Louis MO 63135-1244 |
Practice Telephone | 3145217769 |
Mailing Telephone | 3145217769 |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |
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 |
1330 HOLLINS ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63135-1244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487147559 | Rising Star Home Health Care LLC | Home Health | 1578 Knollstone Dr, Ferguson, MO 63135 | 2018-06-12 |
1396265617 | Rosemark Care LLC | In Home Supportive Care | 1212 Hudson Hills, Saint Louis, MO 63135 | 2017-06-27 |
1881066074 | Grandma's Hands In-home Services LLC | In Home Supportive Care | 119 Church Street Suite 121, Ferguson, MO 63135 | 2015-10-27 |
1518364983 | Rescued Home Health Svc Inc | Home Health | 1438 Chambers Rd, St Louis, MO 63135 | 2014-12-01 |
1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
1003169657 | Robyn L. Lawrence Dc, PC | Chiropractor | 111 Church St., Suite 111, Ferguson, MO 63135 | 2012-10-19 |
1528343308 | Bryan Victor Schneider | Pharmacist | 190 North Florrisant Rd, Ferguson, MO 63135 | 2011-10-12 |
1336457845 | The Sanctuary Adult Program, LLC | Nursing Care | 1440 Chambers Rd, Saint Louis, MO 63135 | 2010-09-17 |
1265639090 | Lrt Professional Health Services Inc | Home Health | 602 Hunters Ridge Dr, Ferguson, MO 63135 | 2007-06-27 |
1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
Find all providers in zip 63135 |
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 |
---|---|---|---|---|
1235461617 | Angela Kay Newbury | Developmental Therapist | 7848 Leona St, Saint Louis, MO 63123-7725 | 2010-02-09 |
1902022809 | Lindsay A Wayne | Developmental Therapist | 5030 Mcree Ave, Saint Louis, MO 63110-2046 | 2007-04-18 |
1821525460 | Megan Marie Samson | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2017-05-14 |
1649636325 | Judith Odendahl | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2016-01-11 |
1043654221 | Kathleen Mary Hannon | Developmental Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2013-04-18 |
1326313123 | Lisa Inch | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2012-03-13 |
1700164902 | Colleen Marie Murphy | Developmental Therapist | 12300 S 40 Dr, Saint Louis, MO 63141-8820 | 2011-07-22 |
1497061188 | Betsy Twist | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-08-19 |
1770898843 | Geeta V Shandilya | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-08-13 |
1861723785 | Jennifer Manley | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-01-15 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63135 |
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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.