DR. CAROLE ANNE SAMANGO-SPROUSE (NPI# 1346465812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346465812 |
Entity Type | Individual |
Full Name | DR. CAROLE ANNE SAMANGO-SPROUSE |
Credential | ED.D. |
Practice Address |
2772 Rutland Rd Davidsonville MD 21035-1228 |
Practice Telephone | 4107984805 |
Practice Fax Number | 4107984801 |
Mailing Telephone | 4107984805 |
Mailing Fax Number | 4107984801 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-07-08 |
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 |
2772 RUTLAND RD |
City | DAVIDSONVILLE |
State | MD |
Zip Code | 21035-1228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326091232 | Robert G. Graw Jr. | Pediatrics | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2006-05-19 |
1750822672 | Elizabeth Ann Smith | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2017-03-10 |
1497181424 | Kristie Joyce Kovacs | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2013-09-23 |
1801159082 | Joan M Leahy | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2012-06-21 |
1689932188 | Rukmalee Erandika Vithana | Pediatrics | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2012-05-03 |
1730482126 | Alexandra Elizabeth Mickler | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2010-12-07 |
1265614390 | Kiesa Nichol Bryant | Physician Assistant | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2007-11-30 |
1043426885 | Rebecca M Damore | Registered Nurse | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2007-05-16 |
1578776217 | Kevin L Clark | Pediatrics | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2007-05-08 |
1992822845 | Pamela P Fahr | Nurse Practitioner | 2772 Rutland Rd, Davidsonville, MD 21035-1228 | 2007-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407020084 | Wooddell & Passaro Dental Group LLC | Dentist | 3102 Davidsonville Road, Davidsonville, MD 21035 | 2008-04-15 |
1174724892 | Kim Alison Edwards | Registered Nurse | 2903 South Lake Drive, Davidsonville, MD 21035 | 2007-05-30 |
1003973538 | Perry J Lucente | Optometrist | 2510 Howard Grove Rd, Davidsonville, MD 21035 | 2007-01-03 |
1306949607 | Carol Macneal Gillies | Physician Assistant | 2772 Rutland Road, Nighttime Care Centers, Davidsonville, MD 21035 | 2006-09-06 |
1790740082 | Amy M Swank | Nurse Anesthetist, Certified Registered | 3468 Monitor Ct, Davidsonville, MD 21035 | 2006-04-19 |
1184841181 | Stanford Joseph Coleman Jr. | Family Medicine | 2772 Rutland Road, Davidsonville, MD 21035 | 2007-04-19 |
1851446751 | Rose Susel | Optometrist | 2510 Howard Grove Rd, Davidsonville, MD 21035 | 2007-01-24 |
1508912049 | Terence Aloysius Mcguire | General Practice | 2935 Davidsonville Rd, Davidsonville, MD 21035-0069 | 2007-01-26 |
1366790057 | Bert Alton Brantley Jr. | Internal Medicine | 2402 Fox Creek Ln, Davidsonville, MD 21035-1151 | 2012-08-28 |
1760699722 | Ronald Lawrence Vannest | Nurse Anesthetist, Certified Registered | 1306 Anglesey Dr, Davidsonville, MD 21035-1264 | 2007-05-17 |
Find all providers in zip 21035 |
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 |
---|---|---|---|---|
1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
1649830506 | Kimberly Lynn Stacy | Developmental Therapist | 11 Dunkle Ct, Taneytown, MD 21787-2317 | 2019-06-13 |
1407312515 | Sandra Orlene Newcomb | Developmental Therapist | 1813 Piccard Dr, Rockville, MD 20850-6067 | 2019-02-13 |
1982060604 | Holly Thomas | Developmental Therapist | 8017 Laketowne Ct, Severn, MD 21144-1708 | 2016-01-11 |
1265838809 | Maimunah Marah | Developmental Therapist | 11474 Connecticut Ave, Kensington, MD 20895-1305 | 2014-11-10 |
1720350358 | Mamie Uteria Price | Developmental Therapist | 16810 Centerfield Way, Olney, MD 20832-2031 | 2012-01-27 |
1003477860 | Janice Michele Rogers | Developmental Therapist | 307 International Cir Ste 100, Cockeysville, MD 21030-1387 | 2019-06-24 |
1467939306 | Miranda M Courteaux | Developmental Therapist | 400 E Pratt St Fl 8, Baltimore, MD 21202-3180 | 2018-07-24 |
1447771233 | Hajar Bencherki | Developmental Therapist | 1026 Cromwell Bridge Rd, Towson, MD 21286-3318 | 2017-06-30 |
1013449990 | Patrice Davenport | Developmental Therapist | 7603 16th Ave, Takoma Park, MD 20912-7037 | 2017-03-30 |
Find all providers with the same taxonomy |
City | DAVIDSONVILLE |
Zip Code | 21035 |
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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.