DESIREE CAUDELL (NPI# 1265890248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265890248 |
Entity Type | Individual |
Full Name | DESIREE CAUDELL |
Practice Address |
3223 N Oliver St Wichita KS 67220-2106 |
Mailing Address |
2637 E Spring Hill Ct Goddard KS 67052-8594 |
Practice Telephone | 3162675437 |
Practice Fax Number | 3162673456 |
Mailing Telephone | 3167555250 |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 1942649116 | 05 |
Street Address |
3223 N OLIVER ST |
City | WICHITA |
State | KS |
Zip Code | 67220-2106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679671671 | Rainbows United, Inc. | Case Management | 3223 N Oliver St, Wichita, KS 67220-2106 | 2006-09-21 |
1144852815 | Ryan M Wilson | Behavior Technician | 3223 N Oliver St, Wichita, KS 67220-2106 | 2020-02-10 |
1235772484 | Emily M Veach | Behavior Technician | 3223 N Oliver St, Wichita, KS 67220-2106 | 2019-10-21 |
1750938155 | Kimberly Donell | Behavior Technician | 3223 N Oliver St, Wichita, KS 67220-2106 | 2019-08-20 |
1841752706 | Emily S Watson | Behavior Technician | 3223 N Oliver St, Wichita, KS 67220-2106 | 2019-04-01 |
1700350303 | Nora A Wilson | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2019-01-16 |
1275016818 | Rainbows United, Inc. | Marriage & Family Therapist | 3223 N Oliver St, Wichita, KS 67220-2106 | 2018-09-10 |
1942781877 | Allyson E Pavlacka | Assistant Behavior Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2018-08-28 |
1205315371 | Danielle Annette Parrott | Behavioral Analyst | 3223 N Oliver St, Wichita, KS 67220-2106 | 2018-08-09 |
1558865857 | Isaac W Reppert | Respite Care | 3223 N Oliver St, Wichita, KS 67220-2106 | 2018-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
Find all providers in zip 67220 |
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 |
---|---|---|---|---|
1508224361 | Allison Mae Scott | Developmental Therapist | 3223 N Oliver St, Wichita, KS 67220-2106 | 2016-02-08 |
1871978791 | Priscilla Marie Washington | Developmental Therapist | 3223 N Oliver St, Wichita, KS 67220-2106 | 2015-07-21 |
1275771008 | Janelle D Pile | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2009-02-02 |
1538306667 | Jamie L Smith | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2009-01-12 |
1013169242 | Gretchen M Digiovanni | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-10-21 |
1245488535 | Sandra L Schimweg | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-08-29 |
1134376015 | Diane M Vereecke | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-08-22 |
1740437524 | Heather M James | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-08-22 |
1679720569 | Mary A Breske | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-08-21 |
1972750883 | Victoria Delatorre Sanchez | Developmental Therapist | 340 S Broadway St, Wichita, KS 67202-4304 | 2008-08-21 |
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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.