MRS. SHARADAN PARKS (NPI# 1053617860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053617860 |
Entity Type | Individual |
Full Name | MRS. SHARADAN PARKS |
Practice Address |
4409 Maine St Quincy IL 62305-5849 |
Practice Telephone | 2172230413 |
Mailing Telephone | 2172230413 |
Enumeration Date | 2011-01-27 |
Last Update Date | 2011-07-07 |
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 |
4409 MAINE ST |
City | QUINCY |
State | IL |
Zip Code | 62305-5849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447258181 | Scott J Wright | Psychiatry & Neurology | 4409 Maine St, Quincy, IL 62305-5849 | 2005-07-07 |
1285273144 | Dana R. Knox | Nurse Practitioner | 4409 Maine St, Quincy, IL 62305-5849 | 2019-12-24 |
1205338993 | Transitions of Western Illinois Inc. | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2018-03-08 |
1336697010 | Jennifer Martin | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2016-09-12 |
1164820452 | Amber Wiemelt | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2014-12-18 |
1336564764 | Nancy A Weede | Counselor | 4409 Maine St, Quincy, IL 62305-5849 | 2014-02-21 |
1548534688 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2012-03-07 |
1720375454 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
1467749192 | Transitions of Western Illinois | Clinic/Center | 4409 Maine St, Quincy, IL 62305-5849 | 2011-07-01 |
1457524035 | Jerilyn C Dufresne | Social Worker | 4409 Maine St, Quincy, IL 62305-5849 | 2008-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
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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 |
---|---|---|---|---|
1962947804 | Charlotte Cearlock | Developmental Therapist | 907 Kentucky St, Quincy, IL 62301-4153 | 2017-01-02 |
1699131466 | Elizabeth Murphy Higgins | Developmental Therapist | 500 Victory Rd Ste 19, Quincy, MA 02171-3138 | 2016-01-11 |
1487063269 | Julia Danielle O'neill | Developmental Therapist | 2433 Vermont St, Quincy, IL 62301-3259 | 2014-08-06 |
1134543168 | Kim Stevens | Developmental Therapist | 3921 S 24th St, Quincy, IL 62305-8925 | 2014-02-11 |
1912256462 | Zara Elizabeth Racz | Developmental Therapist | 12 Hancock Court, Quincy, MA 02169 | 2012-08-30 |
1467718973 | Katherine Stegner | Developmental Therapist | 239 Glendale Dr, Quincy, IL 62301-4450 | 2012-04-09 |
1750664009 | Carri Lin Bellis | Developmental Therapist | 1020 S 30th St, Quincy, IL 62301-6290 | 2011-09-23 |
1992086276 | Regina Rae Bergman | Developmental Therapist | 1707 S 46th St, Quincy, IL 62305-9058 | 2011-08-31 |
1831416007 | Jill Hendrickson | Developmental Therapist | 1465 Hampshire St, Quincy, IL 62301-3141 | 2010-04-28 |
1548494081 | Linda Ann Kaltenbach | Developmental Therapist | 2610 Curved Creek Rd, Quincy, IL 62301-6513 | 2009-05-12 |
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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.