MRS. TRACY GIBSON (NPI# 1194930867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194930867 |
| Entity Type | Individual |
| Full Name | MRS. TRACY GIBSON |
| Credential | D.I. |
| Practice Address |
3345 Tori Trail Ln West Paducah KY 42086-9859 |
| Practice Telephone | 2705622065 |
| Practice Fax Number | 2705345036 |
| Mailing Telephone | 2705622065 |
| Mailing Fax Number | 2705345036 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691807 | Tracy Gibson | Social Worker | 14969 Santa Lucia Dr, Charlotte, NC 28277-3382 | 2019-10-18 |
| 1497019574 | Tracy Melanie Gibson | Specialist | 454 Nostrand Avenue, Brookyln, NY 11216 | 2012-07-03 |
| 1700152394 | Tracy A Gibson | Dentist | 975 Easton Rd, Suite 101, Warrington, PA 18976-1858 | 2012-03-28 |
| 1992932891 | Tracy Baptiste Gibson | Physical Therapist | 520 Prospect Ave, West Orange, NJ 07052-3229 | 2009-06-18 |
| 1700896685 | Tracy Gibson | Advanced Practice Midwife | 500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 | 2006-08-09 |
| Street Address |
3345 TORI TRAIL LN |
| City | WEST PADUCAH |
| State | KY |
| Zip Code | 42086-9859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831440775 | David Preston Thomas | Orthopaedic Surgery | 8260 Old Hinkleville Rd, West Paducah, KY 42086-9228 | 2012-10-01 |
| 1952722829 | Mansfield Eye Clinic Pllc | Optometrist | 130 Plantation Way, West Paducah, KY 42086-9441 | 2013-12-19 |
| 1053847871 | Amy Majors Cavitt | Nurse Practitioner | 7900 Metropolis Lake Rd, West Paducah, KY 42086-9450 | 2017-05-11 |
| 1679624217 | Michael Shane Rust | Nurse Practitioner | 5325 Metropolis Lake Rd, West Paducah, KY 42086-9474 | 2007-01-12 |
| 1619206604 | West Kentucky Chiropractic | Chiropractor | 5325 Metropolis Lake Rd, West Paducah, KY 42086-9474 | 2009-12-22 |
| 1225237423 | West Mccracken Healthcare Pllc | Nurse Practitioner | 5325 Metropolis Lake Rd, West Paducah, KY 42086-9474 | 2007-07-17 |
| 1972650349 | Johnnie Leon Knight | Dentist | 7630 Old Hinkleville Rd, West Paducah, KY 42086-9519 | 2007-01-05 |
| 1821261967 | Ardenia Sanders-cleary | General Acute Care Hospital | 6880 Kentucky 3520, West Paducah, KY 42086-9531 | 2008-04-09 |
| 1306013503 | Ginger Tapp Devine | Physical Therapist | 140 Denberry Ln, West Paducah, KY 42086-9541 | 2008-05-15 |
| 1447685425 | Kayla Klope | Physical Therapist | 4430 Cold Springs Rd, West Paducah, KY 42086-9625 | 2013-09-09 |
| Find all providers in zip 42086 | ||||
| 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 |
|---|---|---|---|---|
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1396379194 | Lori Allen | Developmental Therapist | 717 Carolyn St, Radcliff, KY 40160-1719 | 2020-03-02 |
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1669002598 | Darlene King | Developmental Therapist | 11314 Breeze Cir Unit 203, Louisville, KY 40272-4570 | 2020-01-20 |
| 1194365494 | Ruthann Smith | Developmental Therapist | 398 Rebecca Ann Ct, Elizabethtown, KY 42701-4333 | 2020-01-14 |
| 1437799301 | Lauren Hughes | Developmental Therapist | 4736 Sardis Rd, Mount Olivet, KY 41064-7636 | 2020-01-08 |
| 1336788306 | Hillary Brown | Developmental Therapist | 150 Hickory Dr, Madisonville, KY 42431-5843 | 2019-12-23 |
| 1730727330 | Megan Cantrell | Developmental Therapist | 6441 South Hwy, Salt Lick, KY 40371 | 2019-12-13 |
| 1417595059 | Lauren Ashley Creech | Developmental Therapist | 5617 Chestnutwood Way, Louisville, KY 40272-5007 | 2019-12-13 |
| 1285272039 | Beth Mccord | Developmental Therapist | 5028 Main St, Mayslick, KY 41055-8725 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST PADUCAH |
| Zip Code | 42086 |
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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.