REGINA COLINE WAGSTER (NPI# 1316371016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316371016 |
| Entity Type | Individual |
| Full Name | REGINA COLINE WAGSTER |
| Other Name | REGINA COLINE BRANUM |
| Credential | BSE |
| Practice Address |
6263 Highway 49 South Paragould AR 72450 |
| Practice Telephone | 8702400444 |
| Practice Fax Number | 8702400466 |
| Mailing Telephone | 8702400444 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| 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 |
| Street Address |
6263 HIGHWAY 49 SOUTH |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710322094 | First Step Arkansas, LLC | Clinic/Center | 6263 Highway 49 South, Paragould, AR 72450 | 2013-05-01 |
| 1649603481 | Jamie Suzette Winn | Health Educator | 6263 Highway 49 South, Paragould, AR 72450 | 2013-08-15 |
| 1922431980 | James Terry Covington | Health Educator | 6263 Highway 49 South, Paragould, AR 72450 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| 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 |
|---|---|---|---|---|
| 1700313483 | Misty Ross I | Developmental Therapist | 2705 Park Ridge Dr, Paragould, AR 72450-6013 | 2017-05-12 |
| 1831516780 | Leigh Hinton | Developmental Therapist | 6263 Hwy 49 South, Paragould, AR 72450 | 2014-03-27 |
| 1336464015 | Ryan Pediatric Therapies | Developmental Therapist | 1110 Carroll Rd, Paragould, AR 72450-6007 | 2010-04-06 |
| 1568069649 | Tammie Darlene Richmond | Developmental Therapist | 148 Linwood Dr, Paragould, AR 72450-4077 | 2020-10-02 |
| 1386285500 | Yong S Ko | Developmental Therapist | 148 Linwood Dr, Paragould, AR 72450-4077 | 2019-09-30 |
| 1275013880 | Jessica Elenburg | Developmental Therapist | 148 Linwood Dr, Paragould, AR 72450-4077 | 2018-08-14 |
| 1427570928 | Chelsea Ryann Carter | Developmental Therapist | 6263 Highway 49 S, Paragould, AR 72450-6093 | 2017-07-17 |
| 1578013991 | Kathy Goodman | Developmental Therapist | 1400 W Court St Ste 2, Paragould, AR 72450-4116 | 2016-10-10 |
| 1184080780 | Crystal Combs | Developmental Therapist | 6263 Highway 49 S, Paragould, AR 72450-6093 | 2016-01-12 |
| 1720462492 | Angela Morris | Developmental Therapist | 6263 Highway 49 S, Paragould, AR 72450-6093 | 2015-07-13 |
| Find all providers in PARAGOULD | ||||
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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.