SHAROLYN RENEE DOUGLASS (NPI# 1245653179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245653179 |
| Entity Type | Individual |
| Full Name | SHAROLYN RENEE DOUGLASS |
| Practice Address |
5890 Autumn Harvest Ave Ave Las Vegas NV 89142-0805 |
| Practice Telephone | 7022195548 |
| Mailing Telephone | 7022195548 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| 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 |
| Street Address |
5890 AUTUMN HARVEST AVE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89142-0805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473051 | Elia Reyes | Technician | 5208 Blossom Ave, Las Vegas, NV 89142 | 2020-06-30 |
| 1851932644 | Bernardita Katang Byrd | Technician | 6527 Firstview Ave, Las Vegas, NV 89142 | 2019-10-02 |
| 1730739517 | Michelle Hundley | Technician | 1482 S Phyllis St, Las Vegas, NV 89142 | 2019-09-13 |
| 1619485208 | Alxenia P Brown-gay | Technician | 5150 Spyglass St., Apt. 257, Las Vegas, NV 89142 | 2018-01-17 |
| 1861868374 | Yanet San Pedro Avile | Rehabilitation Practitioner | 5306 Sandstone, Las Vegas, NV 89142 | 2015-08-19 |
| 1174911820 | Jennifer Nguyen Vo | Pharmacist | 5011 East Sahara Ave, Las Vegas, NV 89142 | 2015-01-05 |
| 1003024605 | Neighborhood Dental | Clinic/Center | 5061 E. Sahara Ave Ste 1a, Las Vegas, NV 89142 | 2007-05-18 |
| 1962499384 | Rachel A Mcconnell | Obstetrics & Gynecology | 653 Town Center Dr, 206, Las Vegas, NV 89142 | 2005-09-30 |
| 1578039947 | Duniet J Bonachea Hernandez | Technician | 1330 Amapola Dr, Las Vegas, NV 89142-0101 | 2018-10-23 |
| 1255620795 | Rosa Villarreal | Rehabilitation Practitioner | 5740 Blossom View Ave, Las Vegas, NV 89142-0108 | 2011-04-05 |
| Find all providers in zip 89142 | ||||
| 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 |
|---|---|---|---|---|
| 1720639362 | Jodie Sipes | Developmental Therapist | 7281 W Charleston Blvd, Las Vegas, NV 89117-1592 | 2019-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140800 | Md Developmental Agency | Developmental Therapist | 2520 Saint Rose Pkwy Ste G220, Henderson, NV 89074-7783 | 2020-06-29 |
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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.