MRS. CORRETTA N HENRY-RUSSELL (NPI# 1063067098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063067098 |
| Entity Type | Individual |
| Full Name | MRS. CORRETTA N HENRY-RUSSELL |
| Practice Address |
1672 Stargazer Ter Sanford FL 32771-9286 |
| Practice Telephone | 4078608048 |
| Mailing Telephone | 4078608048 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
1672 STARGAZER TER |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1831719756 | Elite Aesthetics, LLC | Clinic/Center | 110 W 1st St Ste 236, Sanford, FL 32771-1202 | 2020-04-21 |
| 1144526443 | S & B Health Services Inc. | Clinic/Center | 522 W Lake Mary Blvd, Sanford, FL 32773 | 2011-02-03 |
| 1962411454 | Jd Mobile Health Services Inc. | Clinic/Center | 511 Still Forest Terrace, Sanford, FL 32771-8371 | 2006-08-05 |
| 1023536240 | York Hospital | Clinic/Center | 1474 Main St, Sanford, ME 04073-2426 | 2017-09-08 |
| 1154724441 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 820 W Lake Mary Blvd, 107, Sanford, FL 32773-5946 | 2014-10-01 |
| 1154594950 | Coastal Mental Health Center Inc | Clinic/Center | 520 W Lake Mary Blvd Ste 214, Sanford, FL 32773-7424 | 2008-04-12 |
| 1144418179 | Josie Velasco Od Pa | Clinic/Center | 3661 S Orlando Dr, Sanford, FL 32773-5611 | 2007-10-03 |
| 1770598252 | Magnus Medical Center Inc | Clinic/Center | 2105 S Park Ave, Sanford, FL 32771-4349 | 2006-07-30 |
| 1134129539 | William E. Hall Md, P.a. | Clinic/Center | 1911 K M Wicker Memorial Dr, Sanford, NC 27330-5070 | 2005-07-28 |
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| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| 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.