KATHERN K HUMKE (NPI# 1538280847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538280847 |
| Entity Type | Individual |
| Full Name | KATHERN K HUMKE |
| Credential | DEVL THERAPIST |
| Practice Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Mailing Address |
1560 Hunt Dr Apt A Normal IL 61761-6113 |
| Practice Telephone | 3096861177 |
| Mailing Telephone | 3094544260 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| 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 |
507 E ARMSTRONG AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| 1295347201 | Emily Kathleen Smith | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-08-20 |
| 1215561089 | Anne Kirchgessner | Nurse Practitioner | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-03-02 |
| 1568002202 | Megan Mcnamara | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-01-10 |
| 1184268286 | Kaitlyn Schlink | Occupational Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-10-31 |
| 1134770399 | Melissa Kay Reid | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-09-27 |
| 1871142703 | Molly Cull | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603 | 2019-09-04 |
| 1053964791 | Taylor Dayne Walden | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-07-22 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1295290930 | Cally Lynn Webb | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| 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 |
|---|---|---|---|---|
| 1184045114 | Anna Reinking | Developmental Therapist | 2716 W Overhill Rd, Peoria, IL 61615-4108 | 2013-12-17 |
| 1972751667 | Julia Hurst Bowman | Developmental Therapist | 518 W Aspen Way, Peoria, IL 61614-2129 | 2008-09-05 |
| 1013103506 | Kimberly Marie Burgess | Developmental Therapist | 6440 N Allen Rd, Unit 55, Peoria, IL 61614-3281 | 2007-09-19 |
| 1831385327 | Molly Sue Rahn | Developmental Therapist | 431 W Knoll Crest Dr, Peoria, IL 61614-7219 | 2007-09-19 |
| 1821636473 | Haley Claxton | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-12-13 |
| 1023650892 | Nicolle Danielle Sherwood | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-10-14 |
| 1346899291 | Danyle Watkins | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-09-04 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1720544976 | Kaylyn Maynard | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-02-13 |
| 1609384122 | Evelyn P Denny | Developmental Therapist | 5016 N University St Ste 109, Peoria, IL 61614-4763 | 2018-01-18 |
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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.