BRIANNA WATTS (NPI# 1083136774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083136774 |
| Entity Type | Individual |
| Full Name | BRIANNA WATTS |
| Credential | DS |
| Practice Address |
2195 Ironwood Ct Coeur D Alene ID 83814-2624 |
| Practice Telephone | 2087692710 |
| Mailing Telephone | 2087692710 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-03-21 |
| 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 |
|---|---|---|---|---|
| 1346721461 | Brianna M Watts | Behavior Technician | 1428 44th St Sw, Wyoming, MI 49509-4312 | 2018-08-27 |
| Street Address |
2195 IRONWOOD CT |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926258 | Laurie Gallegos | Physician Assistant | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2005-10-20 |
| 1871118752 | Alissa M Rice | Social Worker | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2020-06-16 |
| 1114575958 | Sharma Leigh Walker-thornton | Counselor | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2019-08-26 |
| 1295201663 | Vallenthia Ann Johnson | Social Worker | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2018-10-23 |
| 1740765528 | Kelly Jean Rhoads | Social Worker | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2018-09-27 |
| 1164976114 | Devona Marie Mahal | Marriage & Family Therapist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2016-08-08 |
| 1528417839 | Tracy Rudd-heilig | Social Worker | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2016-06-07 |
| 1053775320 | Linda Hill | Counselor | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2016-04-12 |
| 1760846430 | Robert Michael Wraith I | Social Worker | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2624 | 2016-04-08 |
| 1447612957 | Wendy Williams | Registered Nurse | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1023470853 | Kelli Jo Mckee | Developmental Therapist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2016-03-22 |
| 1255791497 | Breanna Ammari | Developmental Therapist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2016-03-01 |
| 1710347117 | Kristin Stein | Developmental Therapist | 2195 Ironwood Ct, Coeur D Alene, ID 83814-2628 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225664931 | Emmerance Tshite | Developmental Therapist | 1805 E Overland Rd Apt 2123, Meridian, ID 83642-6876 | 2020-03-14 |
| 1316586506 | Kalley Ward Malone | Developmental Therapist | 2401 W Norcrest Dr, Boise, ID 83705-4346 | 2020-01-05 |
| 1063064384 | Patricia Jacobs | Developmental Therapist | 3800 W Perugia St Apt V108, Meridian, ID 83642-4966 | 2019-07-16 |
| 1306326863 | Jennifer Beason | Developmental Therapist | 9517 W Lillywood Dr, Boise, ID 83709-5371 | 2018-08-15 |
| 1740789064 | April M Teachout | Developmental Therapist | 3153 S. Lawndale Ave, Chicago, ID 60623-5039 | 2018-02-02 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1639613805 | Jessica Sproul I | Developmental Therapist | 10395 Mckinley St, Nampa, ID 83687-5079 | 2016-12-07 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| 1073974515 | Carly Kay Powell | Developmental Therapist | 150 Shoup Avenue, Idaho Falls, ID 83402 | 2016-03-11 |
| 1518327741 | Magdalena Weimer | Developmental Therapist | 701 E Alice St, Blackfoot, ID 83221-4925 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.