ROSLYN R IVERSON (NPI# 1306099205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306099205 |
| Entity Type | Individual |
| Full Name | ROSLYN R IVERSON |
| Practice Address |
3450 W 34th Ave Pine Bluff AR 71603-5508 |
| Mailing Address |
800 Marshall St Slot 900 Little Rock AR 72202-3510 |
| Practice Telephone | 8705346067 |
| Practice Fax Number | 8705347297 |
| Mailing Telephone | 5013643620 |
| Mailing Fax Number | 5013643994 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |
| 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 |
3450 W 34TH AVE |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982190 | University of Arkansas for Medical Sciences | Pediatrics | 3450 W 34th Ave, Pine Bluff, AR 71603 | 2006-11-28 |
| 1942854138 | Amanda Laminack | Registered Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2019-07-26 |
| 1598275877 | Tina Marie Britton | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2017-10-02 |
| 1922534122 | Debra Ann Charles | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2017-05-08 |
| 1447634555 | Jamie Pasley | Physical Therapy Assistant | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2015-07-17 |
| 1740693167 | Tonya Sterling | Registered Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2014-06-03 |
| 1154745032 | Ashley Stratton | Registered Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2014-02-12 |
| 1619390911 | Shacoya Latrece Grady | Licensed Practical Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2014-01-23 |
| 1609204544 | Lisa Bates | Registered Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2013-10-30 |
| 1003259615 | Cynthia G Nelson-jones | Licensed Practical Nurse | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2013-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| 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 |
|---|---|---|---|---|
| 1598275877 | Tina Marie Britton | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2017-10-02 |
| 1922534122 | Debra Ann Charles | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2017-05-08 |
| 1477787265 | Regina Anchanel Young | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2009-05-07 |
| 1487807376 | Staci D Irby | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-23 |
| 1104079060 | Felecia K Miller | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-23 |
| 1447402474 | Barbara J Porter | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| 1154573186 | Mary L Moss | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| 1770735797 | Sharon D Mallett | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| 1821240847 | Bobbie J Wright | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| 1194977124 | Valerie R Taylor | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
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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.