AMETRIA RUSSELL


Address: 7209 Engle Rd, Fort Wayne, IN 46804-2238
Phone: 2604844600

AMETRIA RUSSELL (NPI# 1194208348) 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) 1194208348
Entity Type Individual
Full Name AMETRIA RUSSELL
Practice Address 7209 Engle Rd
Fort Wayne
IN 46804-2238
Practice Telephone 2604844600
Practice Fax Number 2604844002
Mailing Telephone 2604844600
Mailing Fax Number 2604844002
Enumeration Date 2018-09-13
Last Update Date 2018-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator IN Other Service Providers

Office Location

Street Address 7209 ENGLE RD
City FORT WAYNE
State IN
Zip Code 46804-2238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245713205 Jennifer Lynn Wilson Social Worker 7209 Engle Rd, Fort Wayne, IN 46804-2238 2018-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437766086 Jaron Mathews Ford Case Manager/Care Coordinator 2710 Northaven Ct, Fort Wayne, IN 46825-7108 2020-09-28
1982234191 Erin Hall Case Manager/Care Coordinator 5800 Faifield, Fort Wayne, IN 46807 2020-01-16
1376031674 Deanna S Lockett Case Manager/Care Coordinator 12625 Page Hill Ct, Fort Wayne, IN 46818-0012 2018-04-23
1104247337 Paytons Place, LLC Case Manager/Care Coordinator 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 2013-12-13
1427324219 Tonyetta Eley Case Manager/Care Coordinator 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 2012-03-27
1174657480 Robert Anthony Ford Case Manager/Care Coordinator 525 Oxford St., Fort Wayne, IN 46806 2007-03-16
1477635852 Aids Task Force, Inc. Case Manager/Care Coordinator 525 Oxford St, Fort Wayne, IN 46806-4177 2006-10-19
1528665700 Bryan Patrick Espinosa Case Manager/Care Coordinator 1825 Beacon St, Fort Wayne, IN 46805-4750 2020-10-01
1427655604 Mark Robert Adang Case Manager/Care Coordinator 1825 Beacon St, Fort Wayne, IN 46805-4750 2020-10-01
1912519562 Sydney Erin Bayer Case Manager/Care Coordinator 7209 Engle Rd Ste 200, Fort Wayne, IN 46804-2238 2020-08-17
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46804

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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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