RUSSELL ADAM LEE (NPI# 1174018618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174018618 |
| Entity Type | Individual |
| Full Name | RUSSELL ADAM LEE |
| Credential | ATC |
| Practice Address |
1118 Hampshire St Quincy IL 62301-3027 |
| Practice Telephone | 2122226550 |
| Mailing Telephone | 2122226550 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003331 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609068147 | Russell Henry Lee | Dentist | 3277 Dry Creek Rd, Napa, CA 94558-9663 | 2007-08-17 |
| 1467532150 | Russell Raymond Lee | Specialist | 31884 Castaic Rd, Suite C-3, Castaic, CA 91384-3946 | 2006-10-17 |
| 1023263456 | Russell F Lee | Psychologist | 722 15th St Nw, Bemidji, MN 56601-2528 | 2008-11-26 |
| 1508923350 | Russell Gilbert Lee | Optometrist | 7300 N Fresno St, Palm 2, Optometry, Fresno, CA 93720-2941 | 2007-01-02 |
| 1629131727 | Russell M Lee | Internal Medicine | 2222 N Nevada Ave, Suite 4004, Colorado Springs, CO 80907-6832 | 2006-12-19 |
| 1972573277 | Russell D Lee | Surgery | 15 S Main St, Suite 170, Jamestown, NY 14701-6626 | 2006-01-26 |
| Street Address |
1118 HAMPSHIRE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614653 | Douglas John Freel | Podiatrist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2005-10-26 |
| 1649734948 | Blessing Hospital | Clinic/Center | 1118 Hampshire St, Quincy, IL 62301-3027 | 2019-01-31 |
| 1508351008 | Brianne Blythe Guymon | Specialist/Technologist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2018-06-27 |
| 1598278715 | Josie L Mccracken | Physical Therapist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2017-11-09 |
| 1497285977 | Jordan E Hogan | Registered Nurse | 1118 Hampshire St, Quincy, IL 62301-3027 | 2017-06-15 |
| 1487181608 | Mitchell T. Thorsen | Physical Therapist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2017-05-18 |
| 1104358951 | Elizabeth Terwelp | Physician Assistant | 1118 Hampshire St, Quincy, IL 62301-3027 | 2017-03-31 |
| 1194118687 | Kelly J Gronewold | Physical Therapist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2015-03-09 |
| 1609267491 | Samantha J. Wilson | Physical Therapist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2015-02-15 |
| 1043608730 | Yvonne Robison | Physical Therapist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2015-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106583 | Sarah Hollenstine | Specialist/Technologist | 2803 Oak St, Quincy, IL 62301-3646 | 2018-12-26 |
| 1487160057 | Nakiya Douglas | Specialist/Technologist | 117 Thomas Burgin Pkwy, Quincy, MA 02169-4211 | 2017-12-19 |
| 1548615958 | Jou Young Lee | Specialist/Technologist | 710 S 43rd St, Quincy, IL 62305-5981 | 2016-05-04 |
| 1578956686 | Mariah Supianoski | Specialist/Technologist | 1089 Quincy Grange Rd, Quincy, MI 49082-9464 | 2015-03-13 |
| 1700284759 | Charley Young | Specialist/Technologist | 1118 State St Apt H, Quincy, IL 62301-4900 | 2014-12-08 |
| 1194917807 | Kristen Dirocco | Specialist/Technologist | 147 Liberty St, Quincy, MA 02169-7639 | 2007-08-16 |
| 1508967720 | Ashley Jo Bethell | Specialist/Technologist | 1118 Hampshire St., Quincy, IL 62301-1851 | 2006-09-26 |
| 1770519589 | Natalie Irene Dyment | Specialist/Technologist | 2 Hammond Ct, Quincy, MA 02169-6622 | 2006-06-23 |
| 1952922460 | Dashjuania Elmore | Specialist/Technologist | 1800 College Ave, Quincy, IL 62301-2699 | 2020-05-06 |
| 1467099770 | Kyle Andrew Leapley | Specialist/Technologist | 3032 Broadway St, Quincy, IL 62301-3708 | 2019-12-05 |
| Find all providers in QUINCY | ||||
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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.