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Shannon Herrera

Developmental Therapist β€’ Normal, IL

Active NPI 1629568670 Individual Practitioner Female Practitioner
Practice location in NPPES

1302 Franklin Ave Ste L500
Normal, IL 617613551

Call 3094520069 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1302 Franklin Ave Ste L500

Normal, IL 617613551

Telephone 3094520069
Organization at the Same NPPES Address or Phone
Lifelong Access Facility NPI 1124731484

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

16 active clinicians are listed under Developmental Therapist with a practice address in Normal, IL (2,796 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Normal

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-02
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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 02, 2024

Registered at 1302 FRANKLIN AVE STE L500, NORMAL, IL 617613551 (Tel: 3094520069)

πŸ“
Updated Business Mailing Address April 02, 2024

Registered at 1302 FRANKLIN AVE STE L500, NORMAL, IL 617613551 (Tel: 3094520069)

πŸ‘€
Provider Name / Credentials Updated April 02, 2024

Recorded as SHANNON HERRERA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2024

Developmental Therapist

βœ…
NPI Profile Active May 15, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 15, 2018

Registered at 132 S WATER ST STE 604, DECATUR, IL 625231061 (Tel: 2174236199)

πŸ“
Business Mailing Address (Initial Record) May 15, 2018

Registered at 132 S WATER ST STE 604, DECATUR, IL 625231061 (Tel: 2174236199)

πŸ‘€
Provider Name / Credentials (Initial Record) May 15, 2018

Recorded as SHANNON LYONS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2018

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration May 15, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629568670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2018
Last Update: April 02, 2024
Sole Proprietor: No

Mailing Address

1302 Franklin Ave Ste L500

Normal, IL 617613551

Phone: 3094520069

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.