MS. JULIE RUSSELL (NPI# 1003145152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003145152 |
| Entity Type | Individual |
| Full Name | MS. JULIE RUSSELL |
| Credential | PMHCNS-BC |
| Practice Address |
5597 Cedar Break Dr Centreville VA 20120-3329 |
| Mailing Address |
443 Carlisle Dr Ste A Herndon VA 20170-5623 |
| Practice Telephone | 7038306315 |
| Mailing Telephone | 7035815875 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0015000440 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283988 | Julie Russell | Nurse Practitioner | 2301 S Lamar Blvd Ste 103, Oxford, MS 38655-5373 | 2017-09-06 |
| 1508278185 | Julie Russell | Student in an Organized Health Care Education/Training Program | 2622 Vista Dr, Newport Beach, CA 92663-5634 | 2014-05-29 |
| 1447521505 | Julie Russell | Social Worker | 107 Wilcox Rd Ste 111, Stonington, CT 06378-2614 | 2012-01-21 |
| 1144535030 | Julie K Russell | Nurse Practitioner | 4770 Covert Ave Ste 101, Evansville, IN 47714-5600 | 2010-08-16 |
| 1578577631 | Julie Banner Russell | Social Worker | 442 King St, Littleton, MA 01460-1251 | 2006-07-27 |
| 1225024839 | Julie L. Russell | Nurse Practitioner | 304 A East 4th St, Eldon, MO 65026 | 2005-09-20 |
| 1811534787 | Julie Russell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-12-10 |
| 1770004749 | Julie Ann Russell | Marriage & Family Therapist | 11740 Sw Warner Ave, Portland, OR 97223-8459 | 2017-06-29 |
| 1336569342 | Julie Russell | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2014-04-17 |
| 1699043547 | Julie Russell | Case Manager/Care Coordinator | 497 Belleville Ave, New Bedford, MA 02746-2420 | 2011-12-07 |
| Street Address |
5597 CEDAR BREAK DR |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730412214 | Karen Shatkin Bloomfield | Clinical Nurse Specialist | 1877 Pine Cone Cir, Charlottesville, VA 22901-8932 | 2009-09-15 |
| 1710028030 | Marilyn Augustine Williamson | Clinical Nurse Specialist | 101 Hemlock Ct, Sterling, VA 20164-2115 | 2007-02-09 |
| 1508905647 | Mary Jane Nelson | Clinical Nurse Specialist | 1725 N George Mason Drive, Arlington, VA 22205 | 2007-02-05 |
| 1528169406 | Linda D Grey | Clinical Nurse Specialist | 131 Great Falls St, Suite 101, Falls Church, VA 22046-3445 | 2006-09-26 |
| 1144241662 | Margaret Glenna Doyle | Clinical Nurse Specialist | 54 E Lee St, Warrenton, VA 20186-3325 | 2006-07-21 |
| 1598783946 | Michele L Zimmerman | Clinical Nurse Specialist | 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 | 2006-07-17 |
| 1366448029 | Ellen Christine Redling | Clinical Nurse Specialist | 44355 Premier Plz, Suite 120, Ashburn, VA 20147-5049 | 2005-06-27 |
| 1679992358 | Dickenson Community Hospital, Inc. | Clinical Nurse Specialist | 364 Hospital Dr, Clintwood, VA 24228 | 2014-04-10 |
| 1588945018 | Marion Louise Kyner | Clinical Nurse Specialist | 2003 Cobb St, Farmville, VA 23901-2603 | 2011-08-29 |
| 1922264696 | Patricia Cheeks | Clinical Nurse Specialist | 600 Peter Jefferson Pkwy, Memb-, Charlottesville, VA 22911-8835 | 2008-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
Please comment or provide details below to improve the information on MS. JULIE RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.