MRS. ALYSSA EDWARDS (NPI# 1477046803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477046803 |
| Entity Type | Individual |
| Full Name | MRS. ALYSSA EDWARDS |
| Credential | ECDS |
| Practice Address |
1310 Bradley Dr Mountain Home AR 72653-2730 |
| Practice Telephone | 8704244021 |
| Practice Fax Number | 8704244112 |
| Mailing Telephone | 8704244021 |
| Mailing Fax Number | 8704244112 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750766481 | Alyssa Edwards | Dentist | 1112 Hidden Oaks St, League City, TX 77573-3673 | 2015-07-23 |
| 1437627452 | Alyssa Edwards | Counselor | 3515 Spring St Ste 3, Davenport, IA 52807-2100 | 2018-11-07 |
| 1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
| 1982093290 | Alyssa Lauren Edwards | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2015-01-10 |
| Street Address |
1310 BRADLEY DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548477425 | Amber Raley | Case Manager/Care Coordinator | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2007-05-17 |
| 1558908780 | Kidspiration Behavioral Health | Pediatrics | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2019-12-06 |
| 1558903872 | Makenna Seats | Occupational Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2019-10-09 |
| 1740778950 | Jennifer Cook | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-24 |
| 1992202527 | Angela Stowe | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2018-04-10 |
| 1851802938 | Hope Boyd | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-10-17 |
| 1912416116 | Patricia Dickinson | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2017-09-20 |
| 1487197059 | Pamela Morton | Registered Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-29 |
| 1790237998 | Ginger Wiggins | Licensed Practical Nurse | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-11-04 |
| 1932567625 | Diane Porter | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
| 1407217987 | Tiahna E Fairbanks | Developmental Therapist | 2420 American Legion Blvd, Mountain Home, ID 83647-3146 | 2016-03-11 |
| 1932567625 | Diane Porter | Developmental Therapist | 1310 Bradley Dr, Mountain Home, AR 72653-2730 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379897 | Allison Nicole Davis | Developmental Therapist | 104 Hope St, Hoxie, AR 72433-9014 | 2020-02-24 |
| 1174161707 | Anna Shrum | Developmental Therapist | 721 Alford Street, Flippin, AR 72634 | 2019-12-13 |
| 1033752290 | Krista Crainer | Developmental Therapist | 4701 N Carbon City Rd, Ozark, AR 72949 | 2019-10-21 |
| 1063061216 | Dawn Renae Burnett | Developmental Therapist | 2001 E Kiehl Ave Ste 12, Sherwood, AR 72120-3123 | 2019-09-10 |
| 1972165827 | Heather Marie Box | Developmental Therapist | 344 Fayetteville Ave, Alma, AR 72921-3655 | 2019-07-01 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1164984373 | Keys (keeping Every Youth Safe) | Developmental Therapist | 2717 So Ringo Street, Little Rock, AR 72206-6554 | 2019-04-05 |
| 1194215350 | Amy Carol Yetley | Developmental Therapist | 8 Van Lee Dr, Little Rock, AR 72205-2452 | 2018-05-14 |
| 1447759782 | Lashauna Walton | Developmental Therapist | 129 Harvick Cir, Cabot, AR 72023-7107 | 2018-02-01 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.