THRIVE PEDIATRIC FEEDING THERAPY LLC (NPI# 1093201808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093201808 |
Entity Type | Organization |
Organization Name | THRIVE PEDIATRIC FEEDING THERAPY LLC |
Practice Address |
4120 Bellemeade Ave Evansville IN 47714-0612 |
Practice Telephone | 8124706589 |
Mailing Telephone | 8124706589 |
Enumeration Date | 2018-07-04 |
Last Update Date | 2018-07-04 |
Authorized Official Name | DR. ELIZABETH PAGE CLAWSON (OWNER) |
Authorized Official Telephone | 8124706589 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042290A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 007710607 | 05 |
Street Address |
4120 BELLEMEADE AVE |
City | EVANSVILLE |
State | IN |
Zip Code | 47714-0612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912096207 | Elizabeth Page Clawson | Psychologist | 4120 Bellemeade Ave, Evansville, IN 47714 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
Find all providers in zip 47714 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790098291 | Emily L Lykins | Psychologist | 3700 Washington Ave # 2200, Evansville, IN 47714-0541 | 2010-07-26 |
1881853182 | The United Methodist Youth Home Inc | Psychologist | 2521 N Burkhardt Rd, Evansville, IN 47715-2151 | 2008-06-03 |
1770740391 | Barbara Carol Jessen | Psychologist | 1535 Red Wing Dr, Evansville, IN 47715-5249 | 2008-05-21 |
1629190517 | Karleen Annika Wink | Psychologist | 1501 N Stockwell Rd, Suite A, Evansville, IN 47715-2260 | 2007-04-04 |
1134206535 | Acacia Center for Human Growth & Development, Inc. | Psychologist | 819 W Franklin St, Evansville, IN 47710-1137 | 2006-11-01 |
1912096207 | Elizabeth Page Clawson | Psychologist | 4120 Bellemeade Ave, Evansville, IN 47714 | 2006-10-12 |
1104833284 | Larry Dale Archer | Psychologist | Evansville Va Health Care Center, 6211 E. Waterford Blvd., Evansville, IN 47715 | 2006-08-02 |
1992742068 | Fania Lee | Psychologist | 43 Washington Ave, Evansville, IN 47713-1317 | 2006-05-31 |
1306818786 | John Alexander Buxton | Psychologist | 5035 Charlotte Ave, Evansville, IN 47720-1466 | 2006-02-01 |
1316929722 | John P. Dewitt | Psychologist | 4770 Covert Ave, Suite 201, Evansville, IN 47714-5663 | 2005-11-19 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47714 |
Please comment or provide details below to improve the information on THRIVE PEDIATRIC FEEDING THERAPY LLC.
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.