ANNA SHRUM (NPI# 1174161707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161707 |
| Entity Type | Individual |
| Full Name | ANNA SHRUM |
| Practice Address |
721 Alford Street Flippin AR 72634 |
| Mailing Address |
Po Box 2533 Mountain Home AR 72654-2533 |
| Practice Telephone | 8702322214 |
| Mailing Telephone | 8704244021 |
| Mailing Fax Number | 8704244021 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 212160795 | 05 |
| Street Address |
721 ALFORD STREET |
| City | FLIPPIN |
| State | AR |
| Zip Code | 72634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669913257 | Therapy for Life, LLC | Occupational Therapist | 9460 Hwy 62 E, Flippin, AR 72634 | 2017-03-15 |
| 1679979215 | Johnny Mitchell | Contractor | 162 Shadow Oak Lane, Flippin, AR 72634 | 2014-11-10 |
| 1649523291 | Rolland L Bailey Do Pa | Family Medicine | 806 E Main Street, Flippin, AR 72634 | 2012-10-19 |
| 1356549984 | Roger D Simons | Family Medicine | 111 E Main Place, Suite 3, Flippin, AR 72634 | 2007-07-05 |
| 1730237751 | Twin Lakes Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 6152 Highway 202 East, Flippin, AR 72634 | 2007-01-08 |
| 1740279546 | Flippin Nursing Center, Inc. | Skilled Nursing Facility | 6152 Hwy 202 East, Flippin, AR 72634 | 2005-10-14 |
| 1396737607 | Roger D Simons | Family Medicine | 111 Main Pl, Suite #3, Flippin, AR 72634 | 2005-08-22 |
| 1629596960 | Julie M King | Nurse Practitioner | 806 E Main St, Flippin, AR 72634 | 2017-09-07 |
| 1134205016 | Glenn Franklin Chamberlain | Dentist | 808 Main St., Flippin, AR 72634 | 2006-10-31 |
| 1326486523 | Baxter County Regional Hospital, Inc. | Clinic/Center | 806 E Main St., Flippin, AR 72634-0309 | 2013-06-10 |
| Find all providers in zip 72634 | ||||
| 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 |
|---|---|---|---|---|
| 1396379897 | Allison Nicole Davis | Developmental Therapist | 104 Hope St, Hoxie, AR 72433-9014 | 2020-02-24 |
| 1033752290 | Krista Crainer | Developmental Therapist | 4701 N Carbon City Rd, Ozark, AR 72949 | 2019-10-21 |
| 1063061216 | Dawn Renae Burnett | Developmental Therapist | 2001 E Kiehl Ave Ste 12, Sherwood, AR 72120-3123 | 2019-09-10 |
| 1972165827 | Heather Marie Box | Developmental Therapist | 344 Fayetteville Ave, Alma, AR 72921-3655 | 2019-07-01 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1164984373 | Keys (keeping Every Youth Safe) | Developmental Therapist | 2717 So Ringo Street, Little Rock, AR 72206-6554 | 2019-04-05 |
| 1194215350 | Amy Carol Yetley | Developmental Therapist | 8 Van Lee Dr, Little Rock, AR 72205-2452 | 2018-05-14 |
| 1447759782 | Lashauna Walton | Developmental Therapist | 129 Harvick Cir, Cabot, AR 72023-7107 | 2018-02-01 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1700313483 | Misty Ross I | Developmental Therapist | 2705 Park Ridge Dr, Paragould, AR 72450-6013 | 2017-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANNA SHRUM.
| 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.