MRS. STACEY CARROLL BURTON (NPI# 1750548012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750548012 |
Entity Type | Individual |
Full Name | MRS. STACEY CARROLL BURTON |
Credential | PLE |
Practice Address |
801 Hail Knob Rd Somerset KY 42503-3419 |
Practice Telephone | 6062190832 |
Mailing Telephone | 6062190832 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2019-01-16 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
129 Park Ave, Somerset, KY 425011785 | 6066771166 | 6064513386 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467662965 | Stacey A Burton | Speech-Language Pathologist | Republic R-iii, 518 N Hampton Ave, Republic, MO 65738-1323 | 2007-05-23 |
1265680557 | Stacey Leigh Burton | Social Worker | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2008-08-29 |
Street Address |
801 HAIL KNOB RD |
City | SOMERSET |
State | KY |
Zip Code | 42503-3419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
Find all providers in zip 42503 |
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 |
---|---|---|---|---|
1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
1386069797 | Stephanie Leanne Baker | Developmental Therapist | 307 Aztec Trl, Somerset, KY 42501-3206 | 2014-02-20 |
1508196478 | Stacy Michelle Wiese-brown | Developmental Therapist | 28 Connors Way, Somerset, KY 45203 | 2009-12-28 |
1588789952 | Dawn Michelle Burgin | Developmental Therapist | 2082 Bridge Hollow Rd, Somerset, KY 42503-6376 | 2007-03-21 |
1457475022 | Holly Lafavers | Developmental Therapist | 303 Second St, Somerset, KY 42501-1785 | 2007-03-19 |
1366940520 | Samantha Ann Stykes | Developmental Therapist | 303 Second St, Somerset, KY 42501-2390 | 2018-01-23 |
1205278959 | Susan Lynn Richardson | Developmental Therapist | 259 Parkers Mill Rd, Somerset, KY 42501-3152 | 2013-07-23 |
1700158565 | Maranda Jane St. John | Developmental Therapist | 127 Old Monticello St, Somerset, KY 42501-2357 | 2012-02-08 |
1124271168 | Aubrey Conley | Developmental Therapist | 1056 S Highway 27, Somerset, KY 42501-2893 | 2008-11-03 |
1417071168 | Stacey Gail Ferrell | Developmental Therapist | 132 S Central Ave, Somerset, KY 42501-2030 | 2007-03-19 |
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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.