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Active NPI 1407981491 Individual Practitioner Female Practitioner

Kimberly Gaye Tennyson , MED

Developmental Therapist • Fairfield, IL

Professional Overview & Biography Verified Profile Summary

Kimberly Tennyson, MED is a registered healthcare professional specializing in Developmental Therapist in Fairfield, IL. Practice services are available at RR 3 BOX 792 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Rr 3 Box 792

Fairfield, IL 628379598

Telephone 6188972430
Fax 6188972441

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Fairfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Fairfield, IL (2859 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at RR 3 BOX 792, FAIRFIELD, IL 628379598 (Tel: 6188972430)

📍
Updated Business Mailing Address July 08, 2007

Registered at RR 3 BOX 792, FAIRFIELD, IL 628379598 (Tel: 6188972430)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIMBERLY TENNYSON, M.ED.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Developmental Therapist

🟢
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407981491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Rr 3 Box 792

Fairfield, IL 628379598

Phone: 6188972430

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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