TIAHNA E FAIRBANKS (NPI# 1407217987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407217987 |
| Entity Type | Individual |
| Full Name | TIAHNA E FAIRBANKS |
| Credential | BA |
| Practice Address |
2420 American Legion Blvd Mountain Home ID 83647-3146 |
| Practice Telephone | 2088906420 |
| Mailing Telephone | 2088906420 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| 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 |
| Street Address |
2420 AMERICAN LEGION BLVD |
| City | MOUNTAIN HOME |
| State | ID |
| Zip Code | 83647-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720118904 | Idaho Dept of Health & Welfare Amh Psr Mt Home | Clinic/Center | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2007-03-06 |
| 1184104697 | Adriana Crompton | Social Worker | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2018-08-15 |
| 1013425487 | Jaysa Marie Pilant | Social Worker | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2018-01-18 |
| 1619495025 | Clair Therese Wardwell | Social Worker | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2017-09-06 |
| 1013469808 | Melinda Carpenter | Counselor | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2016-10-27 |
| 1306297379 | Jessica Harris | Counselor | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2016-06-30 |
| 1326499120 | John Paul Jones | Counselor | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2016-06-23 |
| 1174922355 | Nicholas J Arbon | Social Worker | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2014-08-14 |
| 1366851081 | Elizabeth R Loyd | Counselor | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2014-08-06 |
| 1053658138 | Idaho Behavioral Health, Inc. | Family Medicine | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2013-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1740767284 | Kelly Loy | Counselor | 210 North 3rd East, Mountain Home, ID 83647 | 2018-07-27 |
| 1891247912 | Daelene Sueann Tibbitts | Physical Therapy Assistant | 1665 E 5th N, Mountain Home, ID 83647 | 2016-10-25 |
| 1689065765 | Emma Orthel | Counselor | 2240 American Legion Blvd, Mountain Home, ID 83647 | 2015-02-11 |
| 1073692166 | Krzysztof Hendryk Ziola | Internal Medicine | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2006-11-02 |
| 1952482440 | Michael Peter Koelsch | Internal Medicine | 805 North 6th East, Mountain Home, ID 83647 | 2006-10-18 |
| 1124113709 | Talmage W Delange | Counselor | 235 North 3rd East, Mountain Home, ID 83647 | 2006-10-03 |
| 1225044019 | Scott W Sessions | Physical Therapist | 245 N. 3rd, Mountain Home, ID 83647 | 2006-07-31 |
| 1750370730 | Kyle J Kenison | Optometrist | 855 West 6th South, Mountain Home, ID 83647 | 2005-10-21 |
| 1285628156 | Bruce Joseph Siedlecki | Obstetrics & Gynecology | Mtn.home Aif Force Base, Mdos, Mtn. Home, ID 83647 | 2005-09-07 |
| Find all providers in zip 83647 | ||||
| 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 |
|---|---|---|---|---|
| 1730318288 | Personal Therapy Group, LLC | Developmental Therapist | 100 E 9th St, Mountain Home, AR 72653 | 2009-07-06 |
| 1477046803 | Alyssa Edwards | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-06-11 |
| 1932567625 | Diane Porter | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664931 | Emmerance Tshite | Developmental Therapist | 1805 E Overland Rd Apt 2123, Meridian, ID 83642-6876 | 2020-03-14 |
| 1316586506 | Kalley Ward Malone | Developmental Therapist | 2401 W Norcrest Dr, Boise, ID 83705-4346 | 2020-01-05 |
| 1063064384 | Patricia Jacobs | Developmental Therapist | 3800 W Perugia St Apt V108, Meridian, ID 83642-4966 | 2019-07-16 |
| 1306326863 | Jennifer Beason | Developmental Therapist | 9517 W Lillywood Dr, Boise, ID 83709-5371 | 2018-08-15 |
| 1740789064 | April M Teachout | Developmental Therapist | 3153 S. Lawndale Ave, Chicago, ID 60623-5039 | 2018-02-02 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1639613805 | Jessica Sproul I | Developmental Therapist | 10395 Mckinley St, Nampa, ID 83687-5079 | 2016-12-07 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| 1073974515 | Carly Kay Powell | Developmental Therapist | 150 Shoup Avenue, Idaho Falls, ID 83402 | 2016-03-11 |
| 1518327741 | Magdalena Weimer | Developmental Therapist | 701 E Alice St, Blackfoot, ID 83221-4925 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
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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.