ANDREA MARIE GIBSON (NPI# 1659747400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659747400 |
| Entity Type | Individual |
| Full Name | ANDREA MARIE GIBSON |
| Other Name | ANDREA MARIE BELL |
| Practice Address |
3912 Turnberry Dr Champaign IL 61822-8547 |
| Mailing Address |
3912 Turnberry Drive Champaign IL 61822 |
| Practice Telephone | 2173562304 |
| Practice Fax Number | 2173562304 |
| Mailing Telephone | 2173562304 |
| Mailing Fax Number | 2173562304 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| 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 |
|---|---|---|---|---|
| 1033568563 | Andrea Michelle Gibson | Social Worker | 9000 Glacier Hwy Ste 202, Juneau, AK 99801-8097 | 2016-06-06 |
| 1669070504 | Andrea Gibson | Registered Nurse | 6321 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2020-10-13 |
| 1326652751 | Andrea Lee Gibson | Nurse Practitioner | 1441 N Gardner St, Scottsburg, IN 47170-7751 | 2020-09-02 |
| 1770132227 | Andrea Gibson | Occupational Therapist | 115 S Saint Johns Dr, Camp Hill, PA 17011-4147 | 2019-09-07 |
| 1609186410 | Andrea Gibson | Physician Assistant | 55 Lake Avenue North, Worcester, MA 01655 | 2010-10-14 |
| 1730387523 | Andrea Baylen Gibson | Occupational Therapist | 130 Meadowlark Dr, Richmond, KY 40475-2238 | 2007-07-03 |
| Street Address |
3912 TURNBERRY DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-8547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1073090502 | Chanece Richard | Developmental Therapist | 800 S Mattis Ave Apt D3, Champaign, IL 61821-4345 | 2018-07-27 |
| 1619296084 | Adrienne Morrison | Developmental Therapist | 1016 W Green St, Champaign, IL 61821-3937 | 2010-05-25 |
| 1609193291 | Barbara Rader Sebens | Developmental Therapist | 3008 Cherry Hills Dr, Champaign, IL 61822-7591 | 2010-04-22 |
| 1659600674 | Teresa O'connor | Developmental Therapist | 410 Hessel Blvd, Champaign, IL 61820-6418 | 2009-12-22 |
| 1376796631 | Angela Walder | Developmental Therapist | 4006 Tallgrass Dr, Champaign, IL 61822-2033 | 2008-10-30 |
| 1457526444 | Amanda N Herzog | Developmental Therapist | 1007 Wilshire Ct, Champaign, IL 61821-6934 | 2008-04-29 |
| 1720280746 | Nelly Cristina Alcala | Developmental Therapist | 918 Pomona Dr, Champaign, IL 61822-2361 | 2007-06-01 |
| 1417590506 | Kristin A Rose | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2019-10-22 |
| 1023512118 | Agnieszka Chrzanowska | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2018-03-22 |
| 1174053946 | Heather Marie Johnson | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2017-06-14 |
| Find all providers in CHAMPAIGN | ||||
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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.