SHELBY RAE JENNINGS (NPI# 1023593894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593894 |
| Entity Type | Individual |
| Full Name | SHELBY RAE JENNINGS |
| Practice Address |
3033 Arrowroot Way Indianapolis IN 46239-7973 |
| Practice Telephone | 7655410097 |
| Mailing Telephone | 7655410097 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2020-06-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543097 | Shelby Brooke Jennings | Occupational Therapist | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2018-10-01 |
| 1235586009 | Shelby Thomas Jennings | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2016-05-20 |
| Street Address |
3033 ARROWROOT WAY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46239-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223075 | Hope Transitional Services LLC | Behavioral Analyst | 10737 Jimmy Lake Dr, Indianapolis, IN 46239 | 2020-10-21 |
| 1750854873 | Brooke Stevenson | Student in an Organized Health Care Education/Training Program | 8431 Redfern South Drive, Indianapolis, IN 46239 | 2019-01-11 |
| 1316429764 | Rachel Rutledge | Occupational Therapist | 10335 Corydon Ct, Indianapolis, IN 46239 | 2018-09-02 |
| 1073042404 | Hearst Contracting Services Ltd | Transportation Broker | 8655 Shadow Ridge Lane, G, Indianapolis, IN 46239 | 2017-06-08 |
| 1033514880 | Deanna Warren | Behavioral Analyst | 8355 Chesterhill Lane, Indianapolis, IN 46239 | 2014-10-22 |
| 1972851566 | Breathing Space, Inc | Clinic/Center | 8627 Blue Marlin Drive, Indianapolis, IN 46239 | 2012-08-29 |
| 1831355668 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 7935 Brookville Road, Indianapolis, IN 46239 | 2008-07-31 |
| 1780702407 | James Bryant Wines | Dentist | 3416 S Post Rd, Suite C, Indpls, IN 46239 | 2007-03-27 |
| 1699223461 | World Changing Nurses | Voluntary or Charitable | 1030 S Mitchner Ave, Indianapolis, IN 46239-1160 | 2016-09-21 |
| 1700892155 | Ardis Conrad Melloh | Dentist | 7101 Southeastern Ave, Indianapolis, IN 46239-1207 | 2006-07-31 |
| Find all providers in zip 46239 | ||||
| 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 |
|---|---|---|---|---|
| 1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
| 1578113122 | Julia Kelle Mcmahon | Developmental Therapist | 8320 Flicker Ct, Indianapolis, IN 46237-9145 | 2019-09-16 |
| 1407405962 | Mackenzie Kasper | Developmental Therapist | 7308 Wood Duck Ct, Indianapolis, IN 46254-5818 | 2019-09-08 |
| 1639725336 | Bryce Greene | Developmental Therapist | 661 Barbados Dr, Indianapolis, IN 46227-2278 | 2019-08-18 |
| 1619530789 | Laurie Lynn Stark | Developmental Therapist | 1776 N Meridian St Ste 300, Indianapolis, IN 46202-1469 | 2019-04-15 |
| 1184182743 | Sherika Nichole Sultzer | Developmental Therapist | 3126 Shadow Brook Dr, Indianapolis, IN 46214-1903 | 2019-03-03 |
| 1033682349 | Debi Alexander | Developmental Therapist | 1427 Pittwood Dr, Indianapolis, IN 46240-1243 | 2019-01-09 |
| 1477026979 | Danyell S Smith | Developmental Therapist | 7012 Moon Ct, Indianapolis, IN 46241-3665 | 2019-01-07 |
| 1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
| 1104397462 | Renee Abigail Foor | Developmental Therapist | 1925 W 51st St, Indianapolis, IN 46228-2306 | 2018-12-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46239 |
Please comment or provide details below to improve the information on SHELBY RAE JENNINGS.
| 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.