SHANEAN TABOR (NPI# 1538639455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538639455 |
| Entity Type | Individual |
| Full Name | SHANEAN TABOR |
| Practice Address |
100 Ivy Creek Dr Richmond KY 40475-6021 |
| Practice Telephone | 3176150036 |
| Mailing Telephone | 3176150036 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 IVY CREEK DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912478405 | Empower Growth | Early Intervention Provider Agency | 100 Ivy Creek Dr, Richmond, KY 40475-6021 | 2018-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1891298493 | Meaghan Elizabeth Woolum | Developmental Therapist | 493 Greathouse Dr, Richmond, KY 40475-7522 | 2018-03-10 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1336404300 | Mary Suzetta Horn | Developmental Therapist | 544 General Cruft, Richmond, KY 40475-8887 | 2012-07-05 |
| 1487924619 | Shawna Pinson | Developmental Therapist | 100 Brooks Rd, Richmond, KY 40475-9134 | 2012-01-04 |
| 1043527682 | Jennifer Marie Trent | Developmental Therapist | 316 Dylan Ct, Richmond, KY 40475-8176 | 2010-09-02 |
| 1881837474 | Bethany Jenee Foister | Developmental Therapist | 1073 Brandy Ln, Richmond, KY 40475-8441 | 2009-04-12 |
| 1114169752 | Erica Dawn Baker | Developmental Therapist | 1662 Foxhaven Dr Apt 12, Richmond, KY 40475-1085 | 2009-03-27 |
| 1770733032 | Candice K Herbst | Developmental Therapist | 1019 Countryside Dr, Richmond, KY 40475-9559 | 2008-09-23 |
| 1942322649 | Andrea Himes | Developmental Therapist | 4016 Wolke Drive, Richmond, IN 47374 | 2007-04-04 |
| 1144687633 | Hillary Shepherd | Developmental Therapist | 2150 Lexington Rd, Ste G, Richmond, KY 40475-7924 | 2016-01-28 |
| Find all providers in RICHMOND | ||||
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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.