MRS. KIMBERLY MULLANE (NPI# 1154524163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154524163 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY MULLANE |
| Practice Address |
4505 Shattalon Dr Winston Salem NC 27106-2001 |
| Practice Telephone | 3369249309 |
| Practice Fax Number | 3369240388 |
| Mailing Telephone | 3369249309 |
| Mailing Fax Number | 3369240388 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
5999 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7211772 | 05 |
| Street Address |
4505 SHATTALON DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306937370 | The Special Childrens School | Day Training, Developmentally Disabled Services | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2006-09-27 |
| 1386892909 | Tomme Jo Isbell | Occupational Therapist | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2008-09-08 |
| 1881860286 | Nancy Amalie Harris | Speech-Language Pathologist | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2008-05-06 |
| 1427223932 | The Special Children's School, Inc | Early Intervention Provider Agency | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2008-04-25 |
| 1982890828 | Martha C Simmons | Occupational Therapist | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2007-09-24 |
| 1770786519 | Evelyn M Ries | Occupational Therapy Assistant | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2007-06-08 |
| 1689877615 | Laura Denise Oakman | Physical Therapist | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2007-06-07 |
| 1326169129 | Diane A. Lippiello | Physical Therapist | 4505 Shattalon Dr, Winston Salem, NC 27106-2001 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297204 | Mary Allison Yingling | Occupational Therapist | 1331 Abingdon Way, Winston Salem, NC 27106-4429 | 2020-02-20 |
| 1184867558 | April B. Wolfe | Occupational Therapist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114379 | Christopher Michael Wrzesien | Occupational Therapist | 12321 Inglehurst Dr, Raleigh, NC 27613-5522 | 2020-08-11 |
| 1912523226 | Teresa Joan Thompson | Occupational Therapist | 823 Northern Shores Pt, Greensboro, NC 27455-3459 | 2020-06-23 |
| 1427682509 | Janina Boyce | Occupational Therapist | 5803 Weston Dr, Greensboro, NC 27407-6382 | 2020-02-27 |
| 1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
| 1134777212 | Ladonna Gore-tisdale | Occupational Therapist | 6966 Toscana Trce, Summerfield, NC 27358-9563 | 2019-08-30 |
| 1841843737 | Grace Thao | Occupational Therapist | 3458 Bunker Hill School Rd, Claremont, NC 28610-9669 | 2019-07-19 |
| 1245797471 | Karen Chasen | Occupational Therapist | 801 E Hargett St, Raleigh, NC 27601-1631 | 2019-02-25 |
| 1639635634 | H.o.p.e Therapeutics | Occupational Therapist | 300 Sutro Forest Dr Nw, Concord, NC 28027-8095 | 2019-02-14 |
| 1043792500 | The Accommodation Station, LLC | Occupational Therapist | 515 College Rd Ste 14, Greensboro, NC 27410-5150 | 2018-08-31 |
| 1710484878 | Megan Kristine Cannon | Occupational Therapist | 9621 Bitter Melon Dr, Angier, NC 27501-5917 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on MRS. KIMBERLY MULLANE.
| 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.