STACY MICHELLE WIESE-BROWN


Address: 28 Connors Way, Somerset, KY 45203
Phone: 6068755942

STACY MICHELLE WIESE-BROWN (NPI# 1508196478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508196478
Entity Type Individual
Full Name STACY MICHELLE WIESE-BROWN
Practice Address 28 Connors Way
Somerset
KY 45203
Practice Telephone 6068755942
Mailing Telephone 6068755942
Enumeration Date 2009-12-28
Last Update Date 2014-05-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 28 CONNORS WAY
City SOMERSET
State KY
Zip Code 45203

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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073142790 Andrea Williams Developmental Therapist 50 Faith Ct Apt 12, Somerset, KY 42503-5887 2020-04-04
1386069797 Stephanie Leanne Baker Developmental Therapist 307 Aztec Trl, Somerset, KY 42501-3206 2014-02-20
1750548012 Stacey Carroll Burton Developmental Therapist 801 Hail Knob Rd, Somerset, KY 42503-3419 2008-05-22
1588789952 Dawn Michelle Burgin Developmental Therapist 2082 Bridge Hollow Rd, Somerset, KY 42503-6376 2007-03-21
1457475022 Holly Lafavers Developmental Therapist 303 Second St, Somerset, KY 42501-1785 2007-03-19
1366940520 Samantha Ann Stykes Developmental Therapist 303 Second St, Somerset, KY 42501-2390 2018-01-23
1205278959 Susan Lynn Richardson Developmental Therapist 259 Parkers Mill Rd, Somerset, KY 42501-3152 2013-07-23
1700158565 Maranda Jane St. John Developmental Therapist 127 Old Monticello St, Somerset, KY 42501-2357 2012-02-08
1124271168 Aubrey Conley Developmental Therapist 1056 S Highway 27, Somerset, KY 42501-2893 2008-11-03
1417071168 Stacey Gail Ferrell Developmental Therapist 132 S Central Ave, Somerset, KY 42501-2030 2007-03-19
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City SOMERSET
Zip Code 45203

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Dataset Information

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.

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