Active NPI
Shawna Lampton
- Developmental Therapist
- Leitchfield, KY
National Provider Identifier
1194153668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 635 S Main St Ste B
Leitchfield, KY 42754-1056 - Phone
- (270) 287-0656
- NPI assigned
- Oct 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 167337 | KY | |
| Developmental Therapist | 222Q00000X | KY | Primary |
Addresses
Primary practice location
635 S Main St Ste B
Leitchfield, KY 42754-1056
Mailing address
512 Golfcourse Rd Apt a
Leitchfield, KY 42754-7907
Phone (630) 484-7939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167337 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Intervention and Consultation Services, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Leitchfield, KY
- NPI 1780092957
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194153668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 GOLFCOURSE RD APT A",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427547907",
"telephone_number": "630-484-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S MAIN ST STE B",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541056",
"telephone_number": "270-287-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPTON",
"first_name": "SHAWNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "167337",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.