MS. LISA MICHELLE BOOTH (NPI# 1295006872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295006872 |
| Entity Type | Individual |
| Full Name | MS. LISA MICHELLE BOOTH |
| Practice Address |
9409 E 65th St Raytown MO 64133-4920 |
| Practice Telephone | 8168124898 |
| Mailing Telephone | 8168124898 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| 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 |
|---|---|---|---|---|
| 1346646445 | Lisa Booth | Dietitian, Registered | 25 Rausch St, San Francisco, CA 94103-3917 | 2014-11-17 |
| 1447755194 | Lisa Elisofon Booth | Behavior Technician | 8815 Columbia 100 Pkwy Ste 4, Columbia, MD 21045-2361 | 2018-03-26 |
| 1306248182 | Lisa Dawn Booth | Nurse Practitioner | 1673 N Royal St, Jackson, TN 38301-3607 | 2014-09-23 |
| 1063447753 | Lisa Nan Booth | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761-1325 | 2006-07-11 |
| Street Address |
9409 E 65TH ST |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| 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 |
|---|---|---|---|---|
| 1144691395 | Terissa Kay Curtis | Developmental Therapist | 1286 S Highway W, Elsberry, MO 63343-4039 | 2015-10-14 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1164775417 | Michelle Lynn Ketterer | Developmental Therapist | 1330 Hollins St, Saint Louis, MO 63135-1244 | 2012-10-24 |
| 1053660902 | Sadonna Devaney | Developmental Therapist | 1315 Se Alice St, Blue Springs, MO 64014-3636 | 2012-09-06 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1619272846 | Westbrook Academy Childcare and Learning Center | Developmental Therapist | 4045 Jeffco Blvd, Arnold, MO 63010-4213 | 2011-01-19 |
| 1700194503 | Elizabeth Anne Cooper | Developmental Therapist | 914 Concordia Ln Apt 2s, Clayton, MO 63105 | 2010-09-15 |
| 1235461617 | Angela Kay Newbury | Developmental Therapist | 7848 Leona St, Saint Louis, MO 63123-7725 | 2010-02-09 |
| 1508091240 | Cortney Lynn Thompson | Developmental Therapist | 1855 Evondale Drive, Cape Girardeau, MO 63701 | 2009-05-26 |
| 1902022809 | Lindsay A Wayne | Developmental Therapist | 5030 Mcree Ave, Saint Louis, MO 63110-2046 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
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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.