MRS. KATHLEEN MARY HANNON (NPI# 1043654221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043654221 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARY HANNON |
| Other Name | MS. KATHLEEN MARY HEALY |
| Credential | DT |
| Practice Address |
1177 N Warson Rd Saint Louis MO 63132-1810 |
| Practice Telephone | 3145692211 |
| Practice Fax Number | 3145690778 |
| Mailing Telephone | 3145692211 |
| Mailing Fax Number | 3145690778 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 0459781 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386859288 | Kathleen Mary Hannon | Family Medicine | 32754 Grand River Ave, Farmington Hills, MI 48336-3133 | 2007-05-14 |
| 1770913469 | Kathleen O'neill Hannon | Counselor | 859 Willard St, Quincy, MA 02169-7482 | 2013-11-18 |
| 1093874802 | Kathleen Ann Hannon | Physical Therapist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-12-07 |
| Street Address |
1177 N WARSON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255446803 | Susan Alstat | Speech-Language Pathologist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2006-08-21 |
| 1629675806 | Julie Lorraine Preuss | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1800 | 2020-10-01 |
| 1982211298 | Kennedy Neville | Occupational Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1800 | 2020-09-30 |
| 1255871323 | Ellie Shields | Occupational Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2017-03-08 |
| 1346697786 | Jennifer Stevens | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2016-05-16 |
| 1780055954 | Heather Cloud | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-10-14 |
| 1881065258 | Krystal Jimerson | Behavioral Analyst | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-10-12 |
| 1215310214 | Lindsey Faith Moore | Technician, Other | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-07-08 |
| 1750769915 | Joy Kristine Bender | Occupational Therapist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2015-05-08 |
| 1518376540 | Sarah Lyn Marshall | Speech-Language Pathologist | 1177 N Warson Rd, Saint Louis, MO 63132-1810 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 |
|---|---|---|---|---|
| 1164775417 | Michelle Lynn Ketterer | Developmental Therapist | 1330 Hollins St, Saint Louis, MO 63135-1244 | 2012-10-24 |
| 1235461617 | Angela Kay Newbury | Developmental Therapist | 7848 Leona St, Saint Louis, MO 63123-7725 | 2010-02-09 |
| 1902022809 | Lindsay A Wayne | Developmental Therapist | 5030 Mcree Ave, Saint Louis, MO 63110-2046 | 2007-04-18 |
| 1821525460 | Megan Marie Samson | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2017-05-14 |
| 1649636325 | Judith Odendahl | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2016-01-11 |
| 1326313123 | Lisa Inch | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2012-03-13 |
| 1700164902 | Colleen Marie Murphy | Developmental Therapist | 12300 S 40 Dr, Saint Louis, MO 63141-8820 | 2011-07-22 |
| 1497061188 | Betsy Twist | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-08-19 |
| 1770898843 | Geeta V Shandilya | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-08-13 |
| 1861723785 | Jennifer Manley | Developmental Therapist | 825 S Taylor Ave, Saint Louis, MO 63110-1567 | 2010-01-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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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.