SANDRA ALLISON RUSSELL (NPI# 1134671126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134671126 |
| Entity Type | Individual |
| Full Name | SANDRA ALLISON RUSSELL |
| Credential | NP-C |
| Practice Address |
303 J H Phillips Ln New Albany MS 38652-7012 |
| Practice Telephone | 6625390233 |
| Practice Fax Number | 6625396115 |
| Mailing Telephone | 6625390233 |
| Mailing Fax Number | 6625396115 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
AG0916010 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427487008 | Sandra R Russell | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Albuquerque, NM 87122-2988 | 2013-11-05 |
| 1629349303 | Sandra L Russell | Nurse Practitioner | 17010 Sugar Pine Dr., Houston, TX 77090 | 2012-01-26 |
| 1932219581 | Sandra G Russell | Nurse Practitioner | 15 Pumping Station Rd, Petal, MS 39465-8325 | 2006-08-30 |
| 1417937723 | Sandra K Russell | Obstetrics & Gynecology | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6043 | 2006-01-20 |
| 1780819474 | Sandra Russell | Marriage & Family Therapist | 7996 Old Winding Way Ste 210, Fair Oaks, CA 95628-7159 | 2009-05-25 |
| 1366627473 | Sandra June Russell | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2008-01-08 |
| Street Address |
303 J H PHILLIPS LN |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-7012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578923454 | Lease Wordlaw | Clinical Nurse Specialist | 1815 Watershed Dr, Starkville, MS 39759-8471 | 2016-03-04 |
| 1932584117 | Bobbie Jean Terry | Clinical Nurse Specialist | 806 Springridge Rd, Apt. D, Clinton, MS 39056-5644 | 2015-07-29 |
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on SANDRA ALLISON RUSSELL.
| 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.