BRENDA RUSSELL


Address: 1005 Balcom Ln, Trumann, AR 72472-9502
Phone: 8704831461

BRENDA RUSSELL (NPI# 1114166212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114166212
Entity Type Individual
Full Name BRENDA RUSSELL
Practice Address 1005 Balcom Ln
Trumann
AR 72472-9502
Practice Telephone 8704831461
Practice Fax Number 8704836520
Mailing Telephone 8704831461
Mailing Fax Number 8704836520
Enumeration Date 2009-02-12
Last Update Date 2009-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Other Providers BRENDA RUSSELL

NPI Name Taxonomy Address Enumeration
1518237494 Brenda Rose Russell Licensed Practical Nurse 3009 Shelly Rd, Ravenna, OH 44266-9415 2012-01-09
1114234747 Brenda Russell Speech-Language Pathologist 167 School St, Pittsfield, ME 04967-4747 2010-09-02
1679547566 Brenda R Russell Family Medicine 8920 Southpointe Dr, Suite B, Indianapolis, IN 46227-7509 2006-02-15
1548899511 Brenda Renee Russell Student in an Organized Health Care Education/Training Program 405 W Grand Ave, Dayton, OH 45405-7538 2020-04-02
1821591793 Brenda Russell Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-03-16
1225289176 Brenda Sue Russell Counselor 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 2008-10-08
1922201169 Brenda Novella Russell Nurse Practitioner 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 2007-06-06
1629128541 Brenda Russell Massage Therapist 8725 Wadsworth Blvd, Unit A, Westminster, CO 80003-0928 2007-01-11

Office Location

Street Address 1005 BALCOM LN
City TRUMANN
State AR
Zip Code 72472-9502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770658338 Jennifer Ross Speech-Language Pathologist 1005 Balcom Ln, Trumann, AR 72472-9502 2006-11-21
1013531391 James Bradford Bates Registered Nurse 1005 Balcom Ln, Trumann, AR 72472-9502 2020-06-03
1982240990 Ginnie Burton Registered Nurse 1005 Balcom Ln, Trumann, AR 72472-9502 2019-11-25
1093350712 Mallory Grimes Occupational Therapist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-11-18
1194366625 Jennifer Elizabeth Lorince Speech-Language Pathologist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-10-07
1811547268 Tiffany Martin Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-09-18
1942859293 Autumn Mars Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-09-10
1225683113 Elizabeth Reed Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-08-07
1124687892 Elizabeth Hampton Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-06-06
1457917460 Cheryl Mcclard Registered Nurse 1005 Balcom Ln, Trumann, AR 72472-9502 2019-05-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063039980 First Step Arkansas, LLC Occupational Therapist 528 Industrial Park Access Rd, Trumann, AR 72472 2020-06-26
1982254710 Brent A Davis Physical Therapist 516 Industrial Park Access Rd, Trumann, AR 72472 2019-09-13
1760992911 Lorraine Irene Devries Technician 1316 Industrial Acess Drive, Trumann, AR 72472 2017-10-02
1902326226 Logan Michael Schmidt Dentist 1711 Hwy 69 Blvd, Trumann, AR 72472 2017-06-27
1619228830 Daniel Edward Ward Case Manager/Care Coordinator 1704 Hwy, 69, Trumann, AR 72472 2012-09-27
1003197542 Mashae D. Rolland Nurse Practitioner 808 Highway 463 N, Trumann, AR 72472 2011-08-29
1982984118 Denise Jackson Case Manager/Care Coordinator 1704 Highway 69, Trumann, AR 72472 2011-08-19
1134410467 Dalisha Lareece Smith Clinical Ethicist 1704 Hwy. 69, Trumann, AR 72472 2011-04-20
1164727202 Margaret Ann Peters Case Manager/Care Coordinator 809 West Main Suite C, Trumann, AR 72472 2011-01-21
1134379357 Jeremiah Daniel Dillehay Counselor 170 4 Hwy. 69, Trumann, AR 72472 2008-09-24
Find all providers in zip 72472

Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396009403 Chasity Laire Day Training/Habilitation Specialist 809 W Main St Ste A, Trumann, AR 72472-2634 2012-07-03
1811547268 Tiffany Martin Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-09-18
1942859293 Autumn Mars Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-09-10
1225683113 Elizabeth Reed Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-08-07
1124687892 Elizabeth Hampton Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2019-06-06
1801327226 Klassi Crockett Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2017-03-27
1326409533 Nikki Horne Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2016-03-15
1639555212 Lester Lowery Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2015-08-05
1013397371 Amber Elliott-adams Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2015-06-02
1508253287 Keri Jolly Day Training/Habilitation Specialist 1005 Balcom Ln, Trumann, AR 72472-9502 2015-04-21
Find all providers in TRUMANN

Competitor

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City TRUMANN
Zip Code 72472

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Dataset Information

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.

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