MRS. STACEY CARROLL BURTON


Address: 801 Hail Knob Rd, Somerset, KY 42503-3419
Phone: 6062190832

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
129 Park Ave, Somerset, KY 425011785 6066771166 6064513386

Other Providers STACEY BURTON

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

Office Location

Street Address 801 HAIL KNOB RD
City SOMERSET
State KY
Zip Code 42503-3419

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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City SOMERSET
Zip Code 42503

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Dataset Information

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.

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