NICOLE ANN RUSSELL (NPI# 1053544890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053544890 |
| Entity Type | Individual |
| Full Name | NICOLE ANN RUSSELL |
| Credential | FNP |
| Practice Address |
330 Franklin Rd Ste 302 Brentwood TN 37027-3213 |
| Mailing Address |
1811 5th St Jellico TN 37762-4629 |
| Practice Telephone | 6153733533 |
| Mailing Telephone | 6153733533 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 14174 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN14174 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
14174 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1661 International Dr, Ste 400, Memphis, TN 38120 | 8652766969 | |
| 2199 Clara Mathis Rd, Spring Hill, TN 371742544 | 6153353430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564111 | Nicole Russell | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-02-13 |
| 1528574621 | Nicole Michelle Russell | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2017-12-27 |
| 1205389871 | Nicole Russell | Physical Therapist | 247 Broad St, Suite 3, Milford, CT 06460-3273 | 2016-07-29 |
| 1982017968 | Nicole Elizabeth Russell | Family Medicine | 1035 1st Ave W, Kalispell, MT 59901-5607 | 2014-06-06 |
| 1528322427 | Nicole Russell | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2012-06-26 |
| 1770882516 | Nicole Russell | Counselor | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2011-03-18 |
| 1083816789 | Nicole S Russell | Social Worker | 3550 Se Woodward St, Portland, OR 97202-1552 | 2007-06-04 |
| 1194895060 | Nicole L Russell | Physical Therapist | 75 Francis St, Boston, MA 02115-6110 | 2006-11-08 |
| Street Address |
330 FRANKLIN RD STE 302 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518336890 | Zerene Stephen | Nurse Practitioner | 330 Franklin Rd Ste 302, Cvs Minute Clinic, Brentwood, TN 37027-3213 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720464969 | Amanda Nicole Kralick | Nurse Practitioner | 8115 Isabella Ln Ste 12, Brentwood, TN 37027 | 2015-08-10 |
| 1154342053 | Susan Floyd Schmitter | Nurse Practitioner | 10 Cadillac Drive, Suite 120, Brentwood, TN 37027 | 2006-07-23 |
| 1467065151 | Lindsay Jost | Nurse Practitioner | 1195 Old Hickory Blvd Ste 201, Brentwood, TN 37027-4239 | 2020-08-24 |
| 1982224044 | Ann Nielsen | Nurse Practitioner | 5400 Maryland Way Ste 100, Brentwood, TN 37027-5029 | 2020-04-19 |
| 1245870534 | Lauren Chelsey Linscott | Nurse Practitioner | 8115 Isabella Ln Ste 8, Brentwood, TN 37027-9110 | 2020-01-14 |
| 1124688676 | Caitlin Brianna O'leary | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2019-06-17 |
| 1457852204 | Zhanna Ostrovskiy Goldkamp | Nurse Practitioner | 2401 S Brentwood Blvd, Brentwood, MO 63144-2301 | 2018-02-27 |
| 1003339235 | Cora Ann Snyders | Nurse Practitioner | 8820 Manchester Rd, Brentwood, MO 63144-2602 | 2017-07-19 |
| 1972971794 | Amy Oconnell | Nurse Practitioner | 8820 Manchester Rd, Brentwood, MO 63144-2602 | 2015-09-10 |
| 1497123608 | Deanna Kolak | Nurse Practitioner | 8115 Isabella Ln Ste 8, Brentwood, TN 37027-9110 | 2015-09-03 |
| Find all providers in BRENTWOOD | ||||
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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.