SHIRLEY RUSSELL (NPI# 1033389507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033389507 |
| Entity Type | Individual |
| Full Name | SHIRLEY RUSSELL |
| Credential | APRN |
| Practice Address |
66 Baribeau Dr Suite 9 Brunswick ME 04011-3230 |
| Practice Telephone | 2073736923 |
| Practice Fax Number | 2073736959 |
| Mailing Telephone | 2073736923 |
| Mailing Fax Number | 2073736959 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R024021 | ME | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780625244 | Shirley Louise Russell | Nurse Practitioner | 5915 Normandy Blvd, Jacksonville, FL 32205-6200 | 2006-06-08 |
| 1548379159 | Shirley Lovell Russell | Nurse Practitioner | 8102 Clearvista Parkway, Indianapolis, IN 46256 | 2006-08-29 |
| Street Address |
66 BARIBEAU DR SUITE 9 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980428 | Patricia Marie Conner | Counselor | 66 Baribeau Dr, Brunswick, ME 04011-3230 | 2005-08-30 |
| 1386158558 | Rosalie Genova | Counselor | 66 Baribeau Dr, Brunswick, ME 04011 | 2017-11-27 |
| 1700243797 | Carol Huntington | Counselor | 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011-3230 | 2016-01-21 |
| 1457782880 | Linda Frazier | Registered Nurse | 66 Baribeau Dr, Suite 8, Brunswick, ME 04011-3230 | 2013-12-11 |
| 1144563123 | Catherine Ann Mcconnell | Counselor | 66 Baribeau Dr, Suite 1b, Brunswick, ME 04011-3230 | 2013-03-28 |
| 1598005258 | Sheila Casale | Registered Nurse | 66 Baribeau Dr, Suite B, Brunswick, ME 04011-3230 | 2013-02-18 |
| 1174813950 | Ralph Edward Hall | Counselor | 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011-3230 | 2011-04-13 |
| 1043500929 | Sandra Smith | Counselor | 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011-3230 | 2011-04-13 |
| 1053601880 | Bryan Smith | Counselor | 66 Baribeau Dr, Suite 1a, Brunswick, ME 04011-3230 | 2011-04-13 |
| 1669627063 | Marlene Laurendeau | Social Worker | 66 Baribeau Dr, Brunswick, ME 04011-3230 | 2008-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710132550 | Pamela Dyer | Registered Nurse | 66 Baribeau Dr, Brunswick, ME 04011-3230 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209062 | Jennifer Kress Pringle | Registered Nurse | 28 Charles Rd, Cape Elizabeth, ME 04107-1334 | 2019-01-15 |
| 1235469388 | Kristen Lombard | Registered Nurse | 329 Jones Rd, Jefferson, ME 04348-4016 | 2010-01-12 |
| 1407185374 | West End Practice LLC | Registered Nurse | 95 Pine St, Portland, ME 04102-3719 | 2009-12-23 |
| 1245336114 | Loree Ruth Howe | Registered Nurse | 71 Hospital St, Augusta, ME 04330-6617 | 2006-09-16 |
| 1134235161 | Marilyn Brockway Whipple | Registered Nurse | 34 Middle Rd, Cumberland, ME 04021-3706 | 2006-08-22 |
| 1518345826 | Brenda Mailman | Registered Nurse | 42 Cedar St, Bangor, ME 04401-6433 | 2015-05-07 |
| 1932454907 | Marianne Decain Tarraza Np, LLC | Registered Nurse | 1000 Shore Rd, Building #326, Cape Elizabeth, ME 04107-1916 | 2012-07-17 |
| 1922326248 | Karen C Greenleaf | Registered Nurse | 66 Stone St, Augusta, ME 04330-5227 | 2010-05-11 |
| 1558515890 | Kathleen B Kerr | Registered Nurse | 1523 Pripet Wood Ln, Islesboro, ME 04848-4272 | 2008-11-13 |
| 1750578092 | Constance I Jenkins | Registered Nurse | 1012 Union St, Bangor, ME 04401 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
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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.