MS. PAMELA JEAN RUSSELL (NPI# 1083892632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083892632 |
| Entity Type | Individual |
| Full Name | MS. PAMELA JEAN RUSSELL |
| Credential | R.D., L.D. |
| Practice Address |
6065 Helen Ave Berkeley MO 63134-2013 |
| Practice Telephone | 3145226410 |
| Mailing Telephone | 3145226410 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2008001872 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929945 | Pamela Russell | Counselor | 752 Blanding Blvd Ste 131, Orange Park, FL 32065-5796 | 2020-07-07 |
| 1972905081 | Pamela Russell | Student in an Organized Health Care Education/Training Program | 754 Deodara Dr, Altadena, CA 91001-2310 | 2014-09-19 |
| 1073778163 | Pamela June Russell | Intermediate Care Facility, Mentally Retarded | 256 Oertli Ln, Hamilton, MT 59840-9330 | 2008-07-28 |
| 1831193812 | Pamela Anne Russell | Social Worker | 3435 Pine Mill Rd, Paris, TX 75460-4938 | 2005-06-08 |
| 1700208154 | Pamela Russell | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2014-01-19 |
| 1760750517 | Pamela Gerard Russell | Occupational Therapist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-08 |
| 1396036687 | Pamela Russell | Physical Therapist | 1 Nardone Pl, Jersey City, NJ 07306-3514 | 2011-04-21 |
| 1639296205 | Pamela Russell | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2007-03-26 |
| 1568544930 | Pamela Russell | Speech-Language Pathologist | 2203 Babcock Rd, San Antonio, TX 78229-4412 | 2006-10-19 |
| 1306882048 | Pamela Russell | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Neonatology, Philadelphia, PA 19104-4319 | 2006-06-21 |
| Street Address |
6065 HELEN AVE |
| City | BERKELEY |
| State | MO |
| Zip Code | 63134-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952636631 | Suzanne Denise Mccomb | Dietitian, Registered | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2009-10-13 |
| 1053431825 | Corazon J Reyes | Dietitian, Registered | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2007-03-29 |
| 1124142815 | Courtney Tiemann | Dietitian, Registered | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2007-03-19 |
| 1285767863 | Naomi N. Vance | Dental Hygienist | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457873010 | Erica Wilkins | Home Health Aide | 8401 Alder Ave, Berkeley, MO 63134 | 2017-07-14 |
| 1083029540 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 4700 North Hanley Road, Suite A, St. Louis, MO 63134 | 2014-06-24 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1477765196 | Darren Cartwright | Dentist | 6065 Helen Avenue, St. Louis, MO 63134 | 2007-05-04 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1316017072 | Courier Healthcare Systems, Inc | Home Health | 4433 Woodson Rd., Suite 103, Woodson Terrace, MO 63134 | 2006-11-09 |
| 1467534826 | Express Scripts Specialty Distribution Services, Inc. | Pharmacy | 8931 Springdale Ave., Suite A, Saint Louis, MO 63134 | 2006-10-19 |
| 1346355385 | Jsh Group LLC | Durable Medical Equipment & Medical Supplies | 4441brown Road, St. Louis, MO 63134 | 2006-08-20 |
| 1235175241 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 8905 Airport Rd, Saint Louis, MO 63134 | 2006-06-20 |
| 1770005365 | Optimum Plus Home Healthcare | Home Health | 8401 Alder Ave, Berkeley, MO 63134-1307 | 2017-07-14 |
| Find all providers in zip 63134 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374419 | Casey Kettering | Dietitian, Registered | 2081 Center St, Berkeley, CA 94704-1204 | 2020-04-02 |
| 1982239687 | Alyssa Tennenbaum Gong | Dietitian, Registered | 2634 Piedmont Ave, Berkeley, CA 94704-3413 | 2020-03-03 |
| 1063929719 | Angelica Gayatri Saldivar | Dietitian, Registered | 2423 Prospect St, Berkeley, CA 94704-2551 | 2018-01-03 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1508227380 | Yasaman Ansari | Dietitian, Registered | 2227 Piedmont Ave # 170-k, Berkeley, CA 94720-4162 | 2016-03-08 |
| 1063839629 | Tiffany Horne | Dietitian, Registered | 2952 College Ave Apt 5, Berkeley, CA 94705-2213 | 2014-03-20 |
| 1043655061 | Suzanne A Nelson | Dietitian, Registered | 2227 Piedmont Ave, Simpson Center Rm 170d, Berkeley, CA 94720-2325 | 2013-05-03 |
| 1891068250 | Kristen Rasmussen | Dietitian, Registered | Health Matters Uhs, 2222 Bancroft Way, Berkeley, CA 94720-0001 | 2012-02-15 |
| 1245560754 | Dorothea Olga Michalik | Dietitian, Registered | 3030 Telegraph Ave, Berkeley, CA 94705-2037 | 2010-01-05 |
| 1629252341 | Susan Bessler | Dietitian, Registered | 2428 Prince St, Berkeley, CA 94705-2006 | 2007-12-18 |
| Find all providers in BERKELEY | ||||
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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.