MRS. STACY CLARK NISHIBUN (NPI# 1437484748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437484748 |
| Entity Type | Individual |
| Full Name | MRS. STACY CLARK NISHIBUN |
| Credential | M.A.E, IECE |
| Practice Address |
400 Chapman St Franklin KY 42134-1647 |
| Practice Telephone | 2705352928 |
| Mailing Telephone | 2705352928 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| 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 |
400 CHAPMAN ST |
| City | FRANKLIN |
| State | KY |
| Zip Code | 42134-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1457716706 | Fast Pace Kentucky Pllc | Clinic/Center | 1475 Nashville Rd, Franklin, KY 42134 | 2015-12-30 |
| 1306263694 | Dana Marie Williams | Counselor | 608 South Main Street, Franklin, KY 42134 | 2014-03-25 |
| 1467659466 | Alexandria Bridges | Physical Therapist | 414 Robey Street, Bowling Green, KY 42134 | 2007-07-02 |
| 1902985658 | Kelly Family Dentistry Pllc | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134 | 2006-11-03 |
| 1588624670 | Roy D Reynolds | Family Medicine | 121 Memorial Dr, Franklin, KY 42134 | 2006-03-24 |
| 1528579687 | William Cody Russell | Physical Therapist | 1020 Main Street, Franklin, KY 42134 | 2017-10-17 |
| 1265951461 | Laura Michelle Nagode | Physical Therapist | 1100 Brookhaven Rd, Suite 201, Franklin, KY 42134 | 2017-09-19 |
| 1902232341 | Haley Petty | Physical Therapist | 1112 S Main St, Franklin, KY 42134 | 2013-09-17 |
| 1306288436 | Kimberlee G Sliger | Nurse Practitioner | 119 Memorial Dr, Franklin, KY 42134 | 2013-07-17 |
| Find all providers in zip 42134 | ||||
| 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 |
|---|---|---|---|---|
| 1417508268 | Barbara Wesselman | Developmental Therapist | 707 W State Road 44, Franklin, IN 46131-8694 | 2019-09-24 |
| 1356832869 | Donna Lynn Blasie | Developmental Therapist | 76 Oxford Dr, Franklin, MA 02038-3453 | 2018-05-21 |
| 1851797773 | Hannah Lamey | Developmental Therapist | 172 Oliver Ave, Franklin, IN 46131-1209 | 2014-11-05 |
| 1265659759 | Lacinda M Daniels | Developmental Therapist | 727 N Shore Blvd, Franklin, IN 46131-7790 | 2007-04-19 |
| 1669029617 | Kristin Gurley | Developmental Therapist | 1176 N Main St, Franklin, IN 46131-1251 | 2019-08-23 |
| 1881177038 | Jennifer Louise Hoffman | Developmental Therapist | 1176 N Main St, Franklin, IN 46131-1251 | 2018-09-13 |
| 1871070334 | Ursula Roswitha Roxin-dixon | Developmental Therapist | 14 Mill St, Franklin, MA 02038-1225 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1396379194 | Lori Allen | Developmental Therapist | 717 Carolyn St, Radcliff, KY 40160-1719 | 2020-03-02 |
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1194365494 | Ruthann Smith | Developmental Therapist | 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 | 2020-01-14 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1336788306 | Hillary Brown | Developmental Therapist | 150 Hickory Dr, Madisonville, KY 42431-5843 | 2019-12-23 |
| 1730727330 | Megan Cantrell | Developmental Therapist | 6441 South Hwy, Salt Lick, KY 40371 | 2019-12-13 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1285272039 | Beth Mccord | Developmental Therapist | 5028 Main St, Mayslick, KY 41055-8725 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.