MRS. DOMINIKA HEYDUK (NPI# 1578860102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578860102 |
| Entity Type | Individual |
| Full Name | MRS. DOMINIKA HEYDUK |
| Practice Address |
1308 W Sligh Ave Tampa FL 33604-5902 |
| Mailing Address |
16607 Kingletridge Ave Lithia FL 33547-3938 |
| Practice Telephone | 8133753980 |
| Mailing Telephone | 8137742031 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |
| 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 |
1308 W SLIGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881741023 | Patricia L. Clay Grosz | Registered Nurse | 1308 W Sligh Ave, Tampa, FL 33604-5902 | 2007-01-03 |
| 1164763140 | Yen-hsuan Yang | Developmental Therapist | 1308 W Sligh Ave, Tampa, FL 33604-5902 | 2013-03-15 |
| 1831489319 | Infants & Young Children of West Central Florida Inc | Early Intervention Provider Agency | 1308 W Sligh Ave, Tampa, FL 33604-5902 | 2011-04-18 |
| 1609186048 | Bonnie Frances Mccredie | Social Worker | 1308 W Sligh Ave, Tampa, FL 33604-5902 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| 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 |
|---|---|---|---|---|
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1720640097 | Olga Escobio Torres | Developmental Therapist | 9127 Post Oak Ct, Tampa, FL 33615-5725 | 2019-07-08 |
| 1881250314 | Marcela Herrera-bernardini | Developmental Therapist | 20434 Carolina Cherry Ct, Tampa, FL 33647-2982 | 2019-05-09 |
| 1457915910 | Leticia Pozas Jimenez | Developmental Therapist | 7114 W Creek Dr, Tampa, FL 33615-2308 | 2019-04-30 |
| 1225591266 | Kristin Lynn Edwards | Developmental Therapist | 808 N Franklin St Unit 1510, Tampa, FL 33602-3824 | 2019-04-08 |
| 1528525169 | Alberto M Enriquez Marin | Developmental Therapist | 10549 N Florida Ave Ste G, Tampa, FL 33612-6707 | 2019-03-01 |
| 1134698012 | Bradley Spear | Developmental Therapist | 10708 Preserve Lake Dr Apt 104, Tampa, FL 33626-4442 | 2018-11-20 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| Find all providers in TAMPA | ||||
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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.