DR. JENNIFER RUSSELL (NPI# 1164850137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164850137 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER RUSSELL |
| Credential | DVM |
| Practice Address |
3501 Evergreen Way Washougal WA 98671-9142 |
| Practice Telephone | 3608352184 |
| Practice Fax Number | 3608352186 |
| Mailing Telephone | 3608352184 |
| Mailing Fax Number | 3608352186 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174M00000X | Veterinarian | 5806 | OR | Other Service Providers |
| Y | 174M00000X | Veterinarian | VT60410284 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316348931 | Jennifer L Russell | Registered Nurse | 421 Yoctangee Pkwy, Chillicothe, OH 45601-1663 | 2014-09-15 |
| 1497045033 | Jennifer Ann Russell | Counselor | 13 Barclay St, #2, Worcester, MA 01604-4207 | 2011-04-17 |
| 1497065577 | Jennifer Russell | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-07 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1265552160 | Jennifer Ann Russell | Dentist | 13752 Lakeridge Dr, Fishers, IN 46037-7608 | 2007-04-02 |
| 1205986858 | Jennifer S Russell | Obstetrics & Gynecology | 13005 Us Highway 301 S, Riverview, FL 33578-7439 | 2007-01-12 |
| 1134276173 | Jennifer M Russell | Marriage & Family Therapist | 2249 Oak Glen Dr, Stillwater, MN 55082-9631 | 2007-01-04 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1881239457 | Jennifer L Russell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-11-07 |
| 1891266086 | Jennifer Russell | Licensed Practical Nurse | 2202 Martin Luther King Jr Ave, Knoxville, TN 37915-1570 | 2018-12-16 |
| Street Address |
3501 EVERGREEN WAY |
| City | WASHOUGAL |
| State | WA |
| Zip Code | 98671-9142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862829 | Christina Marie Renzema | Pharmacist | 3307 Se Evergreen Bldg 5, Safeway Pharmacy #1687, Washougal, WA 98671 | 2014-08-23 |
| 1801148606 | Kara Renee Gamboa | Speech-Language Pathologist | 1100 34th St., Washougal, WA 98671 | 2012-10-04 |
| 1922386242 | Alison Marie Eaton | Specialist | 918 9th Street, Washougal, WA 98671 | 2011-08-03 |
| 1821389453 | Robyn Dawn Hannah | Massage Therapist | 3256 F Place, Washougal, WA 98671 | 2011-04-30 |
| 1285923698 | Janine Rene' Troyer | Specialist | 1999 37th Street, Washougal, WA 98671 | 2011-04-06 |
| 1538312301 | Soncea Rae Moore | Massage Therapist | 2900 H Street Apt 16, Washougal, WA 98671 | 2008-10-24 |
| 1871743526 | Washougal Sport and Spine, Inc. | Clinic/Center | 1700 Main, Suite 222, Washougal, WA 98671 | 2008-09-30 |
| 1306027404 | Amanda Marie Michel | Massage Therapist | Gillespie Family Chiropractic, 3307 Evergreen Way Suite 601, Washougal, WA 98671 | 2007-11-16 |
| 1588854483 | Advanced Practice Geriatrics, LLC | Nurse Practitioner | 38324 Se Hidden Falls Road, Washougal, WA 98671 | 2007-07-26 |
| 1316147325 | Advanced Practice Geriatrics, Pllc | Nurse Practitioner | 38324 Se Hidden Falls Rd, Washougal, WA 98671 | 2007-07-19 |
| Find all providers in zip 98671 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154795623 | Joseph Anthony Powers IIi | Veterinarian | 896 N Burlington Blvd, Burlington, WA 98233-4012 | 2015-11-21 |
| 1306228762 | Denise Petryk | Veterinarian | 555 Lake Louise Dr Sw, Lakewood, WA 98498-3151 | 2015-06-22 |
| 1851770416 | Kelly Freese | Veterinarian | 3717 Pacific Way, Seaview, WA 98644 | 2015-05-28 |
| 1528462967 | Jenifer Preston | Veterinarian | 1234 Five M's Rd., Morton, WA 98356-0090 | 2014-10-14 |
| 1609285055 | Blair Michael Burggren | Veterinarian | 3011 Pacific Ave Se, Olympia, WA 98501-2002 | 2014-08-11 |
| 1255766655 | Shawn Christopher Basinger | Veterinarian | 1st Special Forces Group, Box 339502, Joint Base Lewis-mcchord, WA 98433-9500 | 2013-09-05 |
| 1407192875 | Seattle Veterinary Specialists | Veterinarian | 11814 115th Ave Ne, Kirkland, WA 98034-6923 | 2012-12-12 |
| 1477898880 | Tyler James Vance | Veterinarian | 109 S 65th Ave Ste 106, Ridgefield, WA 98642-3408 | 2012-12-11 |
| 1144565557 | Jacqueline Myers | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2012-12-11 |
| 1508111246 | Robin Elizabeth Riedinger | Veterinarian | 4020 Ne 55th St, Seattle, WA 98105-2231 | 2012-07-18 |
| 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.