Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114731403 Individual Practitioner Female Practitioner

Jacqualyn D Shannon

Developmental Therapist • Bowling Green, KY

Professional Overview & Biography Verified Profile Summary

Jacqualyn Shannon is a registered healthcare professional specializing in Developmental Therapist in Bowling Green, KY. Practice services are available at 325 AUDLEY AVE APT 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 Audley Ave Apt 4

Bowling Green, KY 421014489

Telephone 6154235017

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Bowling Green, KY (752 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

CMS Verified: 2025-02-05
Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

State License KY 201237255

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 February 05, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2025

Registered at 325 AUDLEY AVE APT 4, BOWLING GREEN, KY 421014489 (Tel: 6154235017)

📍
Updated Business Mailing Address February 05, 2025

Registered at 325 AUDLEY AVE APT 4, BOWLING GREEN, KY 421014489 (Tel: 6154235017)

👤
Provider Name / Credentials Updated February 05, 2025

Recorded as JACQUALYN SHANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2025

Developmental Therapist (License #201237255 in KY)

🟢
Initial NPI Registration & Enumeration February 05, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jacqualyn Shannon. Be the first to share your experience!

Sign in to leave a review for Jacqualyn Shannon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114731403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2025
Last Update: February 05, 2025
Sole Proprietor: Yes

Mailing Address

325 Audley Ave Apt 4

Bowling Green, KY 421014489

Phone: 6154235017

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.