MS. KATHLEEN P RUSSELL (NPI# 1023044849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023044849 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN P RUSSELL |
| Credential | CPNP |
| Practice Address |
2300 N Childrens Plz Box 50 Chicago IL 60614-3363 |
| Mailing Address |
647 Dauphine Ct Elk Grove Vlg IL 60007-3573 |
| Practice Telephone | 7738804000 |
| Practice Fax Number | 7738804179 |
| Mailing Telephone | 7738804000 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1023375276 | Kathleen Anne Russell | Nurse Practitioner | 6400 Saint Johns Ave, Palatka, FL 32177-6817 | 2012-04-12 |
| 1477873925 | Kathleen Russell | Social Worker | 27 Bailey Ct, Middle Island, NY 11953-1321 | 2010-06-08 |
| 1225368137 | Kathleen Colucci Russell | Registered Nurse | 18918 Colahan Dr, Rocky River, OH 44116-2801 | 2009-12-29 |
| 1275631863 | Kathleen A Russell | Nurse Practitioner | 110 Oak St, Anaconda, MT 59711-2335 | 2006-09-20 |
| 1952956773 | Kathleen Joan Russell | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-08 |
| 1174044572 | Kathleen L Russell | Pharmacist | Po Box Ph, Chinle, AZ 86503-8000 | 2017-07-06 |
| 1699295378 | Kathleen Flynn Russell | Dental Hygienist | 70 Main St, Danbury, CT 06810-7832 | 2017-06-22 |
| 1316929425 | Kathleen Smith Russell | Pharmacist | 17350 St Lukes Way, Suite 150, The Woodlands, TX 77384-4100 | 2005-11-15 |
| Street Address |
2300 N CHILDRENS PLZ BOX 50 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880077 | Mari G Leahy | Pharmacist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2005-06-02 |
| 1265707616 | Melanie Rae Berube | Social Worker | 2300 N Childrens Plz, Box 10, Chicago, IL 60614-3363 | 2012-03-19 |
| 1326310673 | Dana Marie Koehn | Specialist/Technologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2012-02-02 |
| 1255603908 | Peter Andrew Wagreich | Speech-Language Pathologist | 2300 N Childrens Plz, Box 142, Chicago, IL 60614-3363 | 2012-01-27 |
| 1467722090 | Laura Catherine Doyle | Nurse Practitioner | 2300 N Childrens Plz, #37, Chicago, IL 60614-3363 | 2012-01-12 |
| 1174890362 | Julie Farrell | Nurse Practitioner | 2300 N Childrens Plz, Emergency Department, Chicago, IL 60614-3363 | 2011-11-16 |
| 1508147935 | Heather A. Bryant | Pharmacist | 2300 N Childrens Plz, Suite J119, Walgreens, Chicago, IL 60614-3363 | 2011-08-30 |
| 1811278278 | Roopal Marlow | Pharmacist | 2300 N Childrens Plz, Suite J119, Chicago, IL 60614-3363 | 2011-08-30 |
| 1548548357 | Jenelle Helene Ezcurra | Audiologist | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-07-27 |
| 1700175809 | Rebecca Jeanne Vana | Student in an Organized Health Care Education/Training Program | 2300 N Childrens Plz, Chicago, IL 60614-3363 | 2011-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
| 1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
| 1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
| 1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
| Find all providers in CHICAGO | ||||
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| 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.