MRS. NICOLLE DANIELLE SHERWOOD (NPI# 1023650892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023650892 |
Entity Type | Individual |
Full Name | MRS. NICOLLE DANIELLE SHERWOOD |
Practice Address |
7213 N Allen Rd Peoria IL 61614-1107 |
Practice Telephone | 3092580084 |
Practice Fax Number | 8663191546 |
Mailing Telephone | 3092580084 |
Mailing Fax Number | 8663191546 |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |
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 |
7213 N ALLEN RD |
City | PEORIA |
State | IL |
Zip Code | 61614-1107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295805349 | Scot L Varness | Chiropractor | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2006-11-08 |
1821636473 | Haley Claxton | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-12-13 |
1346899291 | Danyle Watkins | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-09-04 |
1083175301 | Allyson Leigh Glavan Cole | Dietitian, Registered | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-03-28 |
1720544976 | Kaylyn Maynard | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-02-13 |
1013495415 | Meghan Keely Moredock | Speech-Language Pathologist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2018-07-30 |
1639435944 | Kelch Chiropractic Inc. | Chiropractor | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2012-04-11 |
1023240934 | Robert Daniel Kelch | Chiropractor | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2009-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
Find all providers in zip 61614 |
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 |
---|---|---|---|---|
1184045114 | Anna Reinking | Developmental Therapist | 2716 W Overhill Rd, Peoria, IL 61615-4108 | 2013-12-17 |
1972751667 | Julia Hurst Bowman | Developmental Therapist | 518 W Aspen Way, Peoria, IL 61614-2129 | 2008-09-05 |
1013103506 | Kimberly Marie Burgess | Developmental Therapist | 6440 N Allen Rd, Unit 55, Peoria, IL 61614-3281 | 2007-09-19 |
1831385327 | Molly Sue Rahn | Developmental Therapist | 431 W Knoll Crest Dr, Peoria, IL 61614-7219 | 2007-09-19 |
1821636473 | Haley Claxton | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-12-13 |
1346899291 | Danyle Watkins | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-09-04 |
1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
1720544976 | Kaylyn Maynard | Developmental Therapist | 7213 N Allen Rd, Peoria, IL 61614-1107 | 2019-02-13 |
1609384122 | Evelyn P Denny | Developmental Therapist | 5016 N University St Ste 109, Peoria, IL 61614-4763 | 2018-01-18 |
1508214586 | Shine Therapy Services, LLC | Developmental Therapist | 5016 N University St, Suite 109, Peoria, IL 61614-4781 | 2016-05-31 |
Find all providers in PEORIA |
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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.