SHANNON RAE PIPPIN (NPI# 1003064858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003064858 |
| Entity Type | Individual |
| Full Name | SHANNON RAE PIPPIN |
| Practice Address |
5512 37th Ave E Bradenton FL 34208-6825 |
| Practice Telephone | 3522096884 |
| Mailing Telephone | 3522096884 |
| Mailing Fax Number | 9414875430 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2014-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000471100 | 05 | |
| FL | 006703300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437405180 | Shannon Paul Pippin | Registered Nurse | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2012-07-31 |
| Street Address |
5512 37TH AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| 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 |
|---|---|---|---|---|
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1942747308 | Pamela Susan Ross | Developmental Therapist | 6220 7th Avenue Dr W, Bradenton, FL 34209-3508 | 2017-01-24 |
| 1871843524 | Anna Liberty Cismesia | Developmental Therapist | 1814 30th St W, Bradenton, FL 34205-3138 | 2012-09-10 |
| 1417109554 | Lisa Marie La Due | Developmental Therapist | 7652 Harrington Lane, Bradenton, FL 34202 | 2008-10-21 |
| 1982881561 | Anne Binder-katz | Developmental Therapist | 5014 25th Street East, Bradenton, FL 34203 | 2008-01-26 |
| 1619153467 | Pinnacle Academy Inc. | Developmental Therapist | 6215 Lorraine Rd, Bradenton, FL 34202-6708 | 2008-01-10 |
| 1184765570 | Alvin Rafael Santa-ana | Developmental Therapist | 203 Sherwood Dr, Bradenton, FL 34210-4516 | 2007-02-09 |
| 1265745467 | Riverside Speech & Language | Developmental Therapist | 2620 Manatee Ave W, Suite C, Bradenton, FL 34205-4944 | 2010-07-16 |
| 1053597716 | Rhonda G Pafford-thacker | Developmental Therapist | 6215 Lorraine Rd, Bradenton, FL 34202-6708 | 2008-01-11 |
| 1346426194 | Kirstina E. Ordetx | Developmental Therapist | 6215 Lorraine Rd, Bradenton, FL 34202-6708 | 2008-01-10 |
| Find all providers in BRADENTON | ||||
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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.