HOLLY L RUSSELL (NPI# 1104338623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104338623 |
| Entity Type | Individual |
| Full Name | HOLLY L RUSSELL |
| Credential | NP |
| Practice Address |
2900 16th St Bedford IN 47421-3510 |
| Mailing Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
| Practice Telephone | 8122751200 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71007594A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692512 | Holly Russell | Pharmacist | 961 Threewood Cir, Bowling Green, KY 42103-2480 | 2015-02-19 |
| 1285918052 | Holly Russell | Occupational Therapist | 10320 N New Jersey St, Indianapolis, IN 46280-1360 | 2011-09-28 |
| 1548860158 | Holly Russell | Pharmacist | 407 N State St, Desloge, MO 63601-3053 | 2020-11-01 |
| 1083233258 | Holly Russell | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-08 |
| 1518442862 | Holly Ann Russell | Dietitian, Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2018-10-02 |
| 1215319488 | Holly Russell | Licensed Practical Nurse | 11009 Louis Dr Se, Huntsville, AL 35803-1007 | 2015-06-24 |
| 1174727267 | Holly Russell | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60487-7722 | 2007-06-12 |
| 1689673410 | Holly Roxanne Russell | Physical Therapist | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2005-07-14 |
| Street Address |
2900 16TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375624 | James B Rickert I | Orthopaedic Surgery | 2900 16th St, Bedford, IN 47421-3510 | 2005-06-08 |
| 1093329963 | Tamara Behen | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-09-08 |
| 1437771060 | Jennifer Leighanne Cooper | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-05-18 |
| 1780204230 | Ladonna Stroud | Registered Nurse | 2900 16th St, Bedford, IN 47421-3510 | 2020-04-24 |
| 1619518867 | Emily Hicks | Pharmacist | 2900 16th St, Bedford, IN 47421-3510 | 2019-09-30 |
| 1376028001 | Brandee Starr Sullivan | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2018-09-28 |
| 1366922874 | Melinda T Pace | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2018-08-15 |
| 1598259020 | Ashleigh Whiteman | Occupational Therapist | 2900 16th St, Bedford, IN 47421-3510 | 2018-06-18 |
| 1144767138 | Whitney Garner | Physician Assistant | 2900 16th St, Bedford, IN 47421-3510 | 2017-01-27 |
| 1871036962 | Indiana University Health Bedford, Inc | Anesthesiology | 2900 16th St, Bedford, IN 47421-3510 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1821622911 | Mh Health Care Services, PC | Nurse Practitioner | 125 Middlesex Tpke, Bedford, MA 01730-1409 | 2020-02-27 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1972079788 | Mychelle Baxter | Nurse Practitioner | 1900 Wimbleton Dr, Bedford, TX 76021-2554 | 2018-10-18 |
| 1225579063 | Fc Indiana, LLC | Nurse Practitioner | 2418 16th St, Bedford, IN 47421-3049 | 2017-03-13 |
| 1689021917 | Doctors Extenders, Inc | Nurse Practitioner | 1104 Monterrey St, Bedford, TX 76022-7531 | 2016-05-17 |
| 1710137245 | Kristen Kay Brooks | Nurse Practitioner | 2217 Murphy Dr Apt 2026, Bedford, TX 76021 | 2008-09-20 |
| 1376665422 | Integrated Pain Care of Bedford, LLC | Nurse Practitioner | 706 Riverway Place, Bedford, NH 03110-6768 | 2007-04-06 |
| 1982706180 | Dorothy A Sullivan | Nurse Practitioner | 262 S River Rd, Bedford, NH 03110-6916 | 2006-09-01 |
| 1528001377 | Carolyn Finocchiaro | Nurse Practitioner | 306 Riverway Pl, Bedford, NH 03110-6764 | 2006-06-13 |
| 1164470944 | Denise Doyle | Nurse Practitioner | 1017 14th St, Bedford, IN 47421-3510 | 2006-05-04 |
| Find all providers in BEDFORD | ||||
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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.