MRS. AMY SUSAN NICHOLS (NPI# 1215433479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215433479 |
Entity Type | Individual |
Full Name | MRS. AMY SUSAN NICHOLS |
Credential | M.S. |
Practice Address |
1100 W 42nd St Ste 228 Indianapolis IN 46208-3300 |
Practice Telephone | 3174147632 |
Mailing Telephone | 3174147632 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821305020 | Amy Elizabeth Nichols | Speech-Language Pathologist | 3285 Martin Rd Ste 104, Commerce Township, MI 48390-1601 | 2010-09-09 |
1922270248 | Amy Nichols | Nurse Practitioner | 2102 Quicksilver Blvd, Austin, TX 78744-5659 | 2008-03-26 |
1427083518 | Amy N Nichols | Social Worker | 8290 165th Ave Ne, Redmond, WA 98052-3948 | 2006-07-11 |
1750981064 | Amy Renee Nichols | Homemaker | 1205 Broad St, Summersville, WV 26651-1805 | 2020-10-27 |
1457992364 | Amy E. Nichols | Pharmacist | 4065 S Redwood Rd, Salt Lake City, UT 84123-1131 | 2019-10-01 |
1821588799 | Amy Nichols | Counselor | 233 Needham St, Newton, MA 02464-1573 | 2018-05-15 |
1508361239 | Amy L Nichols | Peer Specialist | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2018-03-26 |
1679087340 | Amy Pearson Nichols | Counselor | 1020 E Ogden Ave, Naperville, IL 60563-8609 | 2017-11-16 |
1487052957 | Amy C Nichols | Audiologist | 5721 Usa Dr N, Mobile, AL 36688-0002 | 2014-12-15 |
1265736920 | Amy Michelle Estep Nichols | Nurse Practitioner | 8713 Digges Rd, Manassas, VA 20110-4403 | 2011-01-10 |
Street Address |
1100 W 42ND ST STE 228 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46208-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235745662 | Tamera A. Cheviron | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-09-21 |
1336752997 | Michelle Flora | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-08-24 |
1427609437 | Kelly Lloyd | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-09-23 |
1366090953 | Anne West | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-08-28 |
1669029021 | Kimberly Berghoff | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-08-21 |
1164076501 | Melinda Koehne | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-24 |
1154974665 | Tracy Hibler-aikin | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-07-23 |
1558922377 | Deborah Hardesty | Specialist/Technologist | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-24 |
1922669746 | Tommie Roesch | Rehabilitation Counselor | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-24 |
1215597463 | Rhonda Rhoades | Rehabilitation Counselor | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2019-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
Find all providers in zip 46208 |
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 |
---|---|---|---|---|
1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
1578113122 | Julia Kelle Mcmahon | Developmental Therapist | 8320 Flicker Ct, Indianapolis, IN 46237-9145 | 2019-09-16 |
1407405962 | Mackenzie Kasper | Developmental Therapist | 7308 Wood Duck Ct, Indianapolis, IN 46254-5818 | 2019-09-08 |
1639725336 | Bryce Greene | Developmental Therapist | 661 Barbados Dr, Indianapolis, IN 46227-2278 | 2019-08-18 |
1619530789 | Laurie Lynn Stark | Developmental Therapist | 1776 N Meridian St Ste 300, Indianapolis, IN 46202-1469 | 2019-04-15 |
1184182743 | Sherika Nichole Sultzer | Developmental Therapist | 3126 Shadow Brook Dr, Indianapolis, IN 46214-1903 | 2019-03-03 |
1033682349 | Debi Alexander | Developmental Therapist | 1427 Pittwood Dr, Indianapolis, IN 46240-1243 | 2019-01-09 |
1477026979 | Danyell S Smith | Developmental Therapist | 7012 Moon Ct, Indianapolis, IN 46241-3665 | 2019-01-07 |
1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
1104397462 | Renee Abigail Foor | Developmental Therapist | 1925 W 51st St, Indianapolis, IN 46228-2306 | 2018-12-16 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46208 |
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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.