MRS. KIMBERLY SUE CHILDRESS (NPI# 1265667851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265667851 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY SUE CHILDRESS |
| Credential | M.S., OTR/L |
| Practice Address |
2901 Ellsworth Rd Nortonville KS 66060-5019 |
| Practice Telephone | 4174991885 |
| Practice Fax Number | 9542122411 |
| Mailing Telephone | 4174991885 |
| Mailing Fax Number | 9542122411 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 1702306 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | 2005032056 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 222Q00000X | Developmental Therapist | 470 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2901 ELLSWORTH RD |
| City | NORTONVILLE |
| State | KS |
| Zip Code | 66060-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750527875 | Developmental Education Consultants, Inc. | Exclusive Provider Organization | 2901 Ellsworth Rd, Nortonville, KS 66060-5019 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604752 | Nortonville Healthcare LLC | Skilled Nursing Facility | 412 Walnut St, Nortonville, KS 66060 | 2018-10-11 |
| 1770662603 | Atchison Hospital Association | Clinic/Center | 403 Railroad St, Nortonville, KS 66060 | 2006-11-02 |
| 1770560856 | Village Villa, Inc. | Skilled Nursing Facility | 412 E Walnut St, Nortonville, KS 66060-4008 | 2005-12-29 |
| 1972113256 | Anew Healthcare Operations, LLC | Skilled Nursing Facility | 412 E Walnut St, Nortonville, KS 66060-4008 | 2020-08-03 |
| 1639788524 | Anew Healthcare, LLC | Skilled Nursing Facility | 412 E Walnut St, Nortonville, KS 66060-4008 | 2020-07-27 |
| 1215459367 | Jefferson County Memorial Hospital | Psychiatry & Neurology | 412 E Walnut St, Nortonville, KS 66060-4008 | 2017-07-11 |
| 1821075920 | Village Estates, Inc. | Assisted Living Facility | 415 E Walnut St, Nortonville, KS 66060-4008 | 2005-12-29 |
| 1104032424 | Ann Kristin Neuhaus | Family Medicine | 17127 Osage Rd, Nortonville, KS 66060-4053 | 2007-05-15 |
| 1649664384 | Jeffrey Hale | Specialist/Technologist | 311 Main St, Nortonville, KS 66060-4110 | 2015-03-19 |
| 1801826771 | Nortonville Medical Clinic An Operating Division of Sfhc | Family Medicine | 306 Lafayette St, Nortonville, KS 66060-4931 | 2006-07-04 |
| Find all providers in zip 66060 | ||||
| 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 |
|---|---|---|---|---|
| 1215418660 | Amber Lori Barber | Developmental Therapist | 1145 New Salem Cir, Nortonville, KY 42442-9768 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811432446 | Yadira Garcia Pedroza | Developmental Therapist | 108 S Pine St, Pratt, KS 67124-2739 | 2017-01-05 |
| 1205379468 | Lacie Killian | Developmental Therapist | 1700 Avenue G, Dodge City, KS 67801-4544 | 2016-11-21 |
| 1972046266 | Hillary Sims | Developmental Therapist | 216 Curtis St., Pratt, KS 67124 | 2016-11-18 |
| 1104204809 | Courtney Miles | Developmental Therapist | 1017 S Locust St, Ottawa, KS 66067-3333 | 2015-05-13 |
| 1275968802 | Ryan Mchugh | Developmental Therapist | 4757 Texas Rd, Wellsville, KS 66092-8798 | 2013-09-13 |
| 1801237201 | Adrienne Eileen Eberhardt | Developmental Therapist | 804 Laramie St, Manhattan, KS 66502-5682 | 2013-07-13 |
| 1710328117 | Meredith Kathleen Gagich | Developmental Therapist | 1630 Humboldt St, Apartment D, Manhattan, KS 66502-4166 | 2013-07-13 |
| 1386945418 | Emily A Mccarty | Developmental Therapist | 3903 Rainbow Blvd., Kansas City, KS 66103-9913 | 2010-11-05 |
| 1679003438 | Allison Leathers | Developmental Therapist | 1106 N 155th St Ste B, Basehor, KS 66007-7100 | 2017-06-14 |
| 1487190823 | Emma Cecil | Developmental Therapist | 108 S Pine St, Pratt, KS 67124-2739 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTONVILLE |
| Zip Code | 66060 |
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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.