DESIREE CAUDELL


Address: 3223 N Oliver St, Wichita, KS 67220-2106
Phone: 3162675437

DESIREE CAUDELL (NPI# 1265890248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265890248
Entity Type Individual
Full Name DESIREE CAUDELL
Practice Address 3223 N Oliver St
Wichita
KS 67220-2106
Mailing Address 2637 E Spring Hill Ct
Goddard
KS 67052-8594
Practice Telephone 3162675437
Practice Fax Number 3162673456
Mailing Telephone 3167555250
Enumeration Date 2016-02-04
Last Update Date 2016-02-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 1942649116 05

Office Location

Street Address 3223 N OLIVER ST
City WICHITA
State KS
Zip Code 67220-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679671671 Rainbows United, Inc. Case Management 3223 N Oliver St, Wichita, KS 67220-2106 2006-09-21
1144852815 Ryan M Wilson Behavior Technician 3223 N Oliver St, Wichita, KS 67220-2106 2020-02-10
1235772484 Emily M Veach Behavior Technician 3223 N Oliver St, Wichita, KS 67220-2106 2019-10-21
1750938155 Kimberly Donell Behavior Technician 3223 N Oliver St, Wichita, KS 67220-2106 2019-08-20
1841752706 Emily S Watson Behavior Technician 3223 N Oliver St, Wichita, KS 67220-2106 2019-04-01
1700350303 Nora A Wilson Assistant Behavior Analyst 3223 N Oliver St, Wichita, KS 67220-2106 2019-01-16
1275016818 Rainbows United, Inc. Marriage & Family Therapist 3223 N Oliver St, Wichita, KS 67220-2106 2018-09-10
1942781877 Allyson E Pavlacka Assistant Behavior Analyst 3223 N Oliver St, Wichita, KS 67220-2106 2018-08-28
1205315371 Danielle Annette Parrott Behavioral Analyst 3223 N Oliver St, Wichita, KS 67220-2106 2018-08-09
1558865857 Isaac W Reppert Respite Care 3223 N Oliver St, Wichita, KS 67220-2106 2018-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851909329 Michael Jay Somma Dentist 2838 N. Oliver Ave, Wichita, KS 67220 2020-07-21
1033778915 Sonja Nicole Holle Speech-Language Pathologist Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 2019-06-13
1912562869 Sindi Vishaj Student in an Organized Health Care Education/Training Program North Oliver Avenue, Wichita, KS 67220 2019-05-07
1972068252 Cynthia Mccormick Richburg Audiologist 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 2019-01-31
1235666900 Amanda A Ewertz Nurse Practitioner 3715 N. Oliver St., Wichita, KS 67220 2017-05-12
1255888319 Morgan J Martin Physician Assistant 2610 N Woodlawn, Wichita, KS 67220 2016-09-07
1578811089 Jason James Student in an Organized Health Care Education/Training Program 2838 N. Oliver Street, Wichita, KS 67220 2012-08-15
1437414430 Daiquirie Crumrine Speech-Language Pathologist 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 2012-07-06
1790843449 Lincare Inc. Durable Medical Equipment & Medical Supplies 3975 N Woodlawn Ct, Bel Aire, KS 67220 2006-12-05
1568402352 Dillon Companies LLC Pharmacy 3707 N Woodlawn Blvd, Wichita, KS 67220 2006-06-08
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508224361 Allison Mae Scott Developmental Therapist 3223 N Oliver St, Wichita, KS 67220-2106 2016-02-08
1871978791 Priscilla Marie Washington Developmental Therapist 3223 N Oliver St, Wichita, KS 67220-2106 2015-07-21
1275771008 Janelle D Pile Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2009-02-02
1538306667 Jamie L Smith Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2009-01-12
1013169242 Gretchen M Digiovanni Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-10-21
1245488535 Sandra L Schimweg Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-08-29
1134376015 Diane M Vereecke Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-08-22
1740437524 Heather M James Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-08-22
1679720569 Mary A Breske Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-08-21
1972750883 Victoria Delatorre Sanchez Developmental Therapist 340 S Broadway St, Wichita, KS 67202-4304 2008-08-21
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67220

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Dataset Information

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.

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