MRS. MISTY DAWN WHITAKER (NPI# 1164762282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164762282 |
| Entity Type | Individual |
| Full Name | MRS. MISTY DAWN WHITAKER |
| Credential | B.A. DEGREE |
| Practice Address |
21263 33rd Rd Lake City FL 32024-2431 |
| Practice Telephone | 3866281419 |
| Mailing Telephone | 3866281419 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21263 33RD RD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32024-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1790900447 | Leopold Bejamin Leblique | General Practice | 264 Sw Ridgeview Pl., Lake City, FL 32024 | 2007-04-16 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
| 1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
| 1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
| Find all providers in zip 32024 | ||||
| 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 |
|---|---|---|---|---|
| 1225525330 | Sandra M Jimenez | Developmental Therapist | 617 Sw Mill Ln, Lake City, FL 32024-0433 | 2018-04-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1013419985 | Tatiana Casserino | Developmental Therapist | 1086 Sw Main Blvd, Lake City, FL 32025-5703 | 2018-03-06 |
| 1265882682 | Lara Ogburn | Developmental Therapist | 260 S Marion Ave, Bldg A, Ste 135, Lake City, FL 32025-7000 | 2016-06-16 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1871792325 | Jennifer Ann Candler | Developmental Therapist | 434 Nw Lake Valley Ter, Lake City, FL 32055-8526 | 2007-07-15 |
| 1942816111 | Shayna Gabrielle Garcia | Developmental Therapist | 260 S. Marion Avenue, Building A, Suite 135, Lake City, FL 32025-7000 | 2020-09-22 |
| 1477195543 | Bethany Grace Smith | Developmental Therapist | 260 S. Marion Avenue, Building A, Suite 135, Lake City, FL 32025 | 2019-10-10 |
| 1790334498 | Ashley Cason | Developmental Therapist | 260 S. Marion Avenue, Building A, Suite 135, Lake City, FL 32025-3202 | 2019-09-05 |
| 1104487248 | Jenny Burk | Developmental Therapist | 260 S. Marion Avenue, Building A, Suite 135, Lake City, FL 32025-7000 | 2019-06-27 |
| Find all providers in LAKE CITY | ||||
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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.