MRS. NICOLE BLAIR BUTLER (NPI# 1083049852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083049852 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE BLAIR BUTLER |
| Other Name | MS. NICOLE BLAIR GAYNOR |
| Credential | M. ED. |
| Practice Address |
914 Shermer Rd Northbrook IL 60062-3729 |
| Practice Telephone | 7734568779 |
| Practice Fax Number | 8477159270 |
| Mailing Telephone | 7734568779 |
| Mailing Fax Number | 8477159270 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871050062 | Nicole Yvonne Butler | Specialist | 5934 Ginger Dr, Eastvale, CA 92880-0807 | 2019-02-25 |
| 1538683289 | Nicole Butler | Family Medicine | 620 N Kimball Ave Ste 100, Southlake, TX 76092-6856 | 2017-08-02 |
| 1861847832 | Nicole Butler | Marriage & Family Therapist | 8 Blenheim Dr, Doylestown, PA 18902-9403 | 2016-04-27 |
| 1720409337 | Nicole Butler | Licensed Practical Nurse | 481 Stonewood Ave, Rochester, NY 14616-3622 | 2013-12-27 |
| 1841637006 | Nicole Katherine Butler | Audiologist | 9770 S. Mccarren Blvd, Reno, NV 89523 | 2013-05-29 |
| 1740597152 | Nicole Butler | Behavioral Analyst | 3450 W Cheyenne Ave Ste 500, North Las Vegas, NV 89032-8225 | 2010-09-07 |
| 1043362759 | Nicole Butler | Speech-Language Pathologist | 1415 N Dearborn St, Chicago, IL 60610-1559 | 2007-01-16 |
| 1730148354 | Nicole Butler | Physical Therapist | 47 W 57th St, New York, NY 10019-3401 | 2006-03-22 |
| 1275170953 | Nicole Butler | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-02 |
| 1811488463 | Nicole Jennifer Butler | Peer Specialist | 4526 Federal Ave Bldg 4w, Everett, WA 98203-2132 | 2018-05-18 |
| Street Address |
914 SHERMER RD |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| 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 |
|---|---|---|---|---|
| 1750827978 | Kristin Furla Coorlas | Developmental Therapist | 2916 Floral Dr, Northbrook, IL 60062-6404 | 2017-01-11 |
| 1780095612 | Sunya Kashan | Developmental Therapist | 4080 Sunset Ln, Northbrook, IL 60062-1809 | 2014-05-13 |
| 1518268119 | Carmen Xochitl Kim | Developmental Therapist | 2470 Crabtree Ln, Northbrook, IL 60062-3454 | 2010-11-12 |
| 1841434610 | Penny B. Naal | Developmental Therapist | 3252 Landwehr Rd, Northbrook, IL 60062-7406 | 2009-04-23 |
| 1538335336 | Julie Ann Gasaway | Developmental Therapist | 1806 Trails Edge Dr, Northbrook, IL 60062-3830 | 2008-05-01 |
| 1437336633 | Felice Ann Boyer | Developmental Therapist | 1732 Fieldwood Dr, Northbrook, IL 60062-5923 | 2008-01-30 |
| 1679780035 | Nicolette Renee Komie | Developmental Therapist | 2912 Norway Pine Ln, Northbrook, IL 60062-6425 | 2007-05-16 |
| 1598114985 | Kim Consulting, Inc | Developmental Therapist | 2470 Crabtree Ln, Northbrook, IL 60062-3454 | 2016-06-07 |
| 1922345545 | Candice Kaiserman | Developmental Therapist | 2912 Norway Pine Ln, Northbrook, IL 60062-6425 | 2013-01-16 |
| 1831409325 | Marizela Linares | Developmental Therapist | 255 Revere Dr, Northbrook, IL 60062-1564 | 2010-10-18 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
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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.