AMANDA NICOLE YOUNG (NPI# 1336603935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336603935 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE YOUNG |
| Practice Address |
9426 Lima Rd Fort Wayne IN 46818-8680 |
| Practice Telephone | 2604970328 |
| Practice Fax Number | 2604970904 |
| Mailing Telephone | 2604970328 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241673 | Amanda Lee Young | Nurse Practitioner | 150 Highway 1185, Louisa, KY 41230-7948 | 2020-03-24 |
| 1588164891 | Amanda Young | Home Health | 606 Broad St Ste F, South Boston, VA 24592-3200 | 2018-02-14 |
| 1073919619 | Amanda Young | Nurse Anesthetist, Certified Registered | 222 22nd Ave N Ste 300, Nashville, TN 37203-0802 | 2014-11-10 |
| 1407163314 | Amanda F Young | Contractor | 8335 Morning Glory Rd N, Jacksonville, FL 32210-4588 | 2010-09-13 |
| 1164029161 | Amanda Young | Behavior Technician | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-10-03 |
| 1225697584 | Amanda Young | Registered Nurse | 423 N 21st St Ste 100, Camp Hill, PA 17011-2207 | 2019-06-11 |
| 1386200590 | Amanda Bieber Young | Occupational Therapist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-05-13 |
| 1538632450 | Amanda Young | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-03 |
| 1700355906 | Amanda Charlene Young | Counselor | 505 E North Foothills Dr, Spokane, WA 99207-2101 | 2018-11-16 |
| 1174007397 | Amanda Elisabeth Young | Behavior Technician | 424 Peninsula Ave, San Mateo, CA 94401-1653 | 2018-09-24 |
| Street Address |
9426 LIMA RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-8680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730112228 | Fort Wayne Family Eyecare PC | Optometrist | 9426 Lima Rd, Suite C, Fort Wayne, IN 46818-8934 | 2006-07-08 |
| 1932741808 | Maureen Trentadue | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-10-12 |
| 1336790187 | Ashley Finucan | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-24 |
| 1093364192 | Emma Redner | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-11 |
| 1285283424 | Corinna Johnson | Occupational Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-09-10 |
| 1821645946 | Melissa Salway | Occupational Therapy Assistant | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-22 |
| 1720635071 | Deborah Morgan | Speech-Language Pathologist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-21 |
| 1215583281 | Tanda S Brownlee | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-08-14 |
| 1912551524 | Hand In Hand Therapy | Early Intervention Provider Agency | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-07-31 |
| 1114570710 | Chantelle Sessa-norwood | Developmental Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| 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 |
|---|---|---|---|---|
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1306480603 | Linda Niedermeyer Okleshen | Developmental Therapist | 8413 Hunters Knoll Run, Fort Wayne, IN 46825-6406 | 2019-10-30 |
| 1447804109 | Ann Elisabeth Slen | Developmental Therapist | 1913 Omee Ct, Fort Wayne, IN 46815-7961 | 2019-07-30 |
| 1497067961 | Kelly Dawn Burke | Developmental Therapist | 6721 Clovercrest Dr, Fort Wayne, IN 46815-5403 | 2010-07-12 |
| 1679714661 | Melissa Lynn Kiser | Developmental Therapist | 826 Ridgewood Dr, Apt 1, Fort Wayne, IN 46805-1343 | 2009-03-20 |
| 1912165473 | Lori Rachel Brown | Developmental Therapist | 1302 Valdosta Dr, Fort Wayne, IN 46825-3526 | 2008-05-30 |
| 1023131448 | Donna Driscoll | Developmental Therapist | 5216 Lawford Ln, Fort Wayne, IN 46815-5131 | 2007-04-09 |
| 1215058268 | Julia Rose Rusk | Developmental Therapist | 226 N Seminole Cir, Fort Wayne, IN 46807-2865 | 2007-04-03 |
| 1073129599 | Stephanie Foss | Developmental Therapist | 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 | 2020-09-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
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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.