MRS. TRACIE L KIDWELL (NPI# 1831309442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831309442 |
| Entity Type | Individual |
| Full Name | MRS. TRACIE L KIDWELL |
| Credential | OT |
| Practice Address |
2644 Riva Rd Annapolis MD 21401-7427 |
| Mailing Address |
291 Waycross Way Arnold MD 21012 |
| Practice Telephone | 4102225000 |
| Mailing Telephone | 4106472510 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
01796 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 0904 | 05 |
| Street Address |
2644 RIVA RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255300455 | Kimberly G. Miller | Physical Therapist | 2644 Riva Rd, Annapolis, MD 21401 | 2006-03-17 |
| 1306452032 | Tara Moore | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-09-17 |
| 1396358057 | Murphy Atwell | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-08-24 |
| 1255943239 | Abbie L Jones | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-08-20 |
| 1134731516 | Deanna Marie Lengfelder | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-08-18 |
| 1376152017 | Erin Dix | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-07-29 |
| 1730707167 | Ashley Myers | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-07-13 |
| 1629609110 | Krista Bergey | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2020-02-03 |
| 1437797719 | Allison Mcnerney | Occupational Therapist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2019-12-17 |
| 1508416256 | Kathryn Mills | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2019-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725548 | Krystal Welsh | Occupational Therapist | 1410 Forest Dr Ste 29, Annapolis, MD 21403-1446 | 2018-06-28 |
| 1750627113 | Samantha Christine Offutt | Occupational Therapist | 607 Admiral Dr, Unit 104, Annapolis, MD 21401-8746 | 2012-12-12 |
| 1245357193 | Julie Marie Norton | Occupational Therapist | 122 Defense Hwy Ste 224, Annapolis, MD 21401-7071 | 2007-03-24 |
| 1215573746 | Colleen Wright | Occupational Therapist | 1410 Forest Dr Ste 29, Annapolis, MD 21403-1446 | 2019-11-19 |
| 1871054965 | Tiffany R Minor | Occupational Therapist | 1410 Forest Dr Ste 29, Annapolis, MD 21403-1446 | 2019-03-29 |
| 1851877872 | Rita Brave King | Occupational Therapist | 1410 Forest Dr Ste 29, Annapolis, MD 21403-1446 | 2018-07-12 |
| 1336634633 | Christina Dimarco Prietz | Occupational Therapist | 1410 Forest Dr, Annapolis, MD 21403-1472 | 2018-06-28 |
| 1205321452 | Stephanie Ann Penkert | Occupational Therapist | 1410 Forest Dr Ste 29, Annapolis, MD 21403-1446 | 2018-06-28 |
| 1942738778 | Kerry L Viardo | Occupational Therapist | 207 Ridgely Ave, Annapolis, MD 21401-1303 | 2017-05-24 |
| 1568677581 | Mary Pat Fasick | Occupational Therapist | 122 Defense Hwy, 224, Annapolis, MD 21401-7069 | 2007-05-12 |
| Find all providers in ANNAPOLIS | ||||
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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.