NICHOLE CHAUNTELLE WILSON
NPI 1740730811
Developmental Therapist in Idaho Falls, ID

Active since October 12, 2016
150 SHOUP AVE, IDAHO FALLS, ID 83402(208) 359-4778 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nichole Chauntelle Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE CHAUNTELLE WILSON (NPI 1740730811) is an individual developmental therapist in Idaho Falls, Idaho and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1740730811
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameNICHOLE CHAUNTELLE WILSON
Location Address150 SHOUP AVEIdaho Falls, ID 83402-3657
Mailing Address150 Shoup AveIdaho Falls, ID 83402-3657 · (208) 359-4778
Sole ProprietorYes
Enumeration DateOctober 12, 2016
NPI 1740730811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition

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.

150 SHOUP AVE, Idaho Falls, ID 83402

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
150 SHOUP AVE, SUITE 6
IDAHO FALLS, ID 83402
Speech-Language Pathologist
150 SHOUP AVE, SUITE 19
IDAHO FALLS, ID 83402
Developmental Therapist
150 SHOUP AVE
IDAHO FALLS, ID 83402
Developmental Therapist
150 SHOUP AVE
IDAHO FALLS, ID 83402
Counselor (Mental Health)
150 SHOUP AVE
IDAHO FALLS, ID 83402
Social Worker (Clinical)
150 SHOUP AVE
IDAHO FALLS, ID 83402
Developmental Therapist
150 SHOUP AVE, SUITE 19
IDAHO FALLS, ID 83402
Registered Nurse
150 SHOUP AVE, SUITE 17
IDAHO FALLS, ID 83402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Wilson's NPI number?

The NPI number for Nichole Wilson is 1740730811. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Nichole Wilson located?

Nichole Wilson practices at 150 Shoup Ave, Idaho Falls, ID 83402. The listed phone number is (208) 359-4778.

What is Nichole Wilson's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Nichole Wilson was last updated on October 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.