JESSICA ANN LEGAULT (NPI# 1114577764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114577764 |
| Entity Type | Individual |
| Full Name | JESSICA ANN LEGAULT |
| Practice Address |
416 E College Ave Greenville IL 62246-1523 |
| Practice Telephone | 6185311596 |
| Practice Fax Number | 2176507770 |
| Mailing Telephone | 6185311596 |
| Mailing Fax Number | 2176507770 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| 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 |
416 E COLLEGE AVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| 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 |
|---|---|---|---|---|
| 1770939423 | Brittany Michelle Dixon | Developmental Therapist | 409 Maple St, Greenville, NC 27858-2631 | 2016-05-12 |
| 1548652217 | Elvira Mitchell | Developmental Therapist | 3538 S Woodlawn Dr, Greenville, MS 38703-8213 | 2015-03-04 |
| 1477973659 | Melissa Morrison | Developmental Therapist | 1010 River Hill Dr, Greenville, NC 27858-8334 | 2014-04-25 |
| 1235465881 | Bonnine B Bouchard | Developmental Therapist | 2 Moosehead Lake Rd, Greenville, ME 04441-0221 | 2009-11-02 |
| 1083804215 | Cheryl Jean Yarrell | Developmental Therapist | 100 David Dr, Apt. E-18, Greenville, NC 27858-4865 | 2007-07-25 |
| 1972142032 | Michelle Turnof | Developmental Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2020-01-06 |
| 1609396563 | Alison Couse | Developmental Therapist | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2017-06-22 |
| 1396275541 | Brittany Stephenson | Developmental Therapist | 1100 Red Banks Rd, Greenville, NC 27858-5205 | 2017-06-19 |
| 1811293236 | Andrea Lugo | Developmental Therapist | 700b Cromwell Dr, Greenville, NC 27858-5852 | 2011-02-02 |
| 1548564628 | Araceli L Ascencio | Developmental Therapist | 700b Cromwell Dr, Greenville, NC 27858-5852 | 2011-01-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.