KENOSHA WITHERSPOON (NPI# 1366860637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366860637 |
| Entity Type | Individual |
| Full Name | KENOSHA WITHERSPOON |
| Credential | B.S. |
| Practice Address |
9365 E Outer Dr Detroit MI 48213-1507 |
| Practice Telephone | 3136955416 |
| Mailing Telephone | 3136955416 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
9365 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48213-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336674415 | Educating U4 Life Cdc | Early Intervention Provider Agency | 19321 W Chicago St, Detroit, MI 48228-1739 | 2017-04-26 |
| 1639520562 | Family Matters II | Early Intervention Provider Agency | 14550 Westwood St, Detroit, MI 48223-2251 | 2016-06-22 |
| 1710336383 | Loving Beginnings LLC | Early Intervention Provider Agency | 5468 Fischer St, Detroit, MI 48213-2925 | 2016-06-06 |
| 1912363805 | Your Precious Moments | Early Intervention Provider Agency | 18452 Murray Hill St, Detroit, MI 48235-3041 | 2016-01-07 |
| 1053708230 | One Baby At A Time LLC | Early Intervention Provider Agency | 19400 Dwyer St, Detroit, MI 48234-2662 | 2015-04-24 |
| 1801115225 | A Step Ahead Group | Early Intervention Provider Agency | 24331 W 8 Mile Rd, Detroit, MI 48219-1028 | 2010-05-25 |
| 1235601170 | The Detroit Association of Black Organizations (dabo), Inc. | Early Intervention Provider Agency | 12048 Grand River Ave, Detroit, MI 48204-1836 | 2018-12-17 |
| 1780045831 | Antonio Williams | Early Intervention Provider Agency | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2016-03-17 |
| 1659737518 | Greater Horizon Training Institute | Early Intervention Provider Agency | 615 Griswold St, Ste 1520, Detroit, MI 48226-3900 | 2016-01-07 |
| 1295118842 | Preventative Patterns Care Management | Early Intervention Provider Agency | 9600 Dexter Ave, Detroit, MI 48206-1816 | 2015-07-01 |
| Find all providers in DETROIT | ||||
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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.