STEPHANIE LORRAINE THOMAS (NPI# 1770086977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770086977 |
| Entity Type | Individual |
| Full Name | STEPHANIE LORRAINE THOMAS |
| Practice Address |
111 Fiddlers Ridge Rd Vine Grove KY 40175-1265 |
| Practice Telephone | 2705010382 |
| Mailing Telephone | 2705010382 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 200172615 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365326 | Stephanie Martha Thomas | Student in an Organized Health Care Education/Training Program | 2220 N Clark St Apt 201, Chicago, IL 60614-3849 | 2020-04-20 |
| 1770063521 | Stephanie M Thomas | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-08-20 |
| 1295247427 | Stephanie Thomas | Dentist | 800 E Merritt Island Cswy # 105, Merritt Island, FL 32952-3514 | 2017-10-27 |
| 1548785504 | Stephanie Martin Thomas | Case Manager/Care Coordinator | 467277 E 1060 Rd, Sallisaw, OK 74955-7178 | 2017-08-10 |
| 1003267576 | Stephanie Thomas | Nurse Practitioner | 59315 River West Dr Ste C, Plaquemine, LA 70764-6553 | 2016-06-27 |
| 1003279894 | Stephanie Frances Kane Thomas | Counselor | 14910 Leeward Dr Unit 605, Corpus Christi, TX 78418-8108 | 2016-03-30 |
| 1528306578 | Stephanie Lavon Thomas | Counselor | 916 Niblick Dr, Las Vegas, NV 89108-1113 | 2013-01-25 |
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1932402203 | Stephanie K Thomas | Specialist/Technologist | 968 W Juanita Ave, Gilbert, AZ 85233-2549 | 2010-12-08 |
| 1043526585 | Stephanie Lynn Thomas | Counselor | 10694 Twin Lakes Ln, San Angelo, TX 76904-3412 | 2010-08-22 |
| Street Address |
111 FIDDLERS RIDGE RD |
| City | VINE GROVE |
| State | KY |
| Zip Code | 40175-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093021248 | Jamie Lynn Seymour | Speech-Language Pathologist | 101 Crume Rd, Vine Grove, KY 40175 | 2010-08-25 |
| 1053500298 | Christina Diahann Cundiff | Social Worker | 104 Debbie Drive, Vine Grove, KY 40175 | 2007-10-23 |
| 1407077266 | Bridget Louise Marnell | Specialist/Technologist | 925 Hickory Dr, Vine Grove, KY 40175 | 2007-05-01 |
| 1023115664 | Elizabeth Duque | Family Medicine | Ireland Army Health Clinic, 851 Ireland Ave, Fort Knox, KY 40175 | 2006-09-17 |
| 1306005251 | Holly Samantha Sheroan | Speech-Language Pathologist | 922 Hickory Dr, Vine Grove, KY 40175-1020 | 2008-06-05 |
| 1154661981 | Chatterbox Therapy Services | Speech-Language Pathologist | 922 Hickory Dr, Vine Grove, KY 40175-1020 | 2013-02-14 |
| 1134249378 | Kenneth E Bewley | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2007-03-30 |
| 1922576768 | Rineyville Family Medical Clinic LLC | Clinic/Center | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2018-11-09 |
| 1891949590 | Jeremy David Bewley | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2008-11-07 |
| 1598975971 | Shannon Polly Johnson | Dentist | 423 Crume Rd, Vine Grove, KY 40175-1130 | 2007-05-23 |
| Find all providers in zip 40175 | ||||
| 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 |
|---|---|---|---|---|
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1396379194 | Lori Allen | Developmental Therapist | 717 Carolyn St, Radcliff, KY 40160-1719 | 2020-03-02 |
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1194365494 | Ruthann Smith | Developmental Therapist | 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 | 2020-01-14 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1336788306 | Hillary Brown | Developmental Therapist | 150 Hickory Dr, Madisonville, KY 42431-5843 | 2019-12-23 |
| 1730727330 | Megan Cantrell | Developmental Therapist | 6441 South Hwy, Salt Lick, KY 40371 | 2019-12-13 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1285272039 | Beth Mccord | Developmental Therapist | 5028 Main St, Mayslick, KY 41055-8725 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | VINE GROVE |
| Zip Code | 40175 |
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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.