TERRI LYNNE RUSSELL (NPI# 1205838661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205838661 |
| Entity Type | Individual |
| Full Name | TERRI LYNNE RUSSELL |
| Other Name | TERRI LYNNE FOWLES |
| Credential | RN MS CNS |
| Practice Address |
540 E 1st St Waconia MN 55387-1601 |
| Practice Telephone | 9524424437 |
| Practice Fax Number | 9524423084 |
| Mailing Telephone | 9524424437 |
| Mailing Fax Number | 9524423084 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R-122719-6 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UBH-MEDICA | 6249427 | 01 |
| MN | HEALTH PARTNERS | HP28174 | 01 |
| MN | U-CARE | 123169 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 07F62RU | 01 |
| MN | PREFERRED ONE | 1023258 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1700985553 | Terri Anne Russell | Pediatrics | 811 E 32nd Street, Austin, TX 78705 | 2006-09-21 |
| 1346482346 | Terri Renee Russell | Counselor | 25 S Ewing St, 424, Helena, MT 59601-5938 | 2009-04-06 |
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| Street Address |
540 E 1ST ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887379 | Anna Skytta-gurkanlar | Psychologist | 540 E 1st St, Waconia, MN 55387-1601 | 2005-08-09 |
| 1427671056 | Charlie Yanisch | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-05-18 |
| 1487285920 | Suzan Muhanna | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2020-02-03 |
| 1023657863 | Sarah Manthei | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-12-26 |
| 1295384188 | Jamie Meyer | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-09-04 |
| 1063079762 | Charell Dutton | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-05-29 |
| 1598223893 | Josie Hoffman | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2019-03-05 |
| 1255834586 | Jonathan Cory Braverman | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-03-13 |
| 1437650447 | Elizabeth Smith Noonan | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-25 |
| 1467952986 | Alyson Montplaisir | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007288 | Pascaline Mambo Ndifor Suhfor | Registered Nurse | 249 Winona St W, Saint Paul, MN 55107-3562 | 2020-09-11 |
| 1295365591 | Hedit Florido-bergad | Registered Nurse | 981 Lombard Ave, Saint Paul, MN 55105-3254 | 2020-01-25 |
| 1790320372 | Afolake A. Adewumi | Registered Nurse | 6852 Folkestone Rd, Apple Valley, MN 55124-5625 | 2019-11-07 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1164816260 | Andrea Mary Groves | Registered Nurse | 10210 Portland Ave S, Bloomington, MN 55420-5432 | 2015-03-26 |
| 1366712614 | Sheila Hennen | Registered Nurse | Ridgeview Delano Clinic, 916 St. Peter Ave., Delano, MN 55328 | 2012-01-04 |
| 1356642144 | Paul Jay Seese II | Registered Nurse | 1211 E 5th St, Duluth, MN 55805-2314 | 2010-11-09 |
| 1487870481 | Cynthia Gail Wittwer | Registered Nurse | 30487 County Highway 1, Redwood Falls, MN 56283-2802 | 2007-04-18 |
| 1225056195 | Patricia Ann Palecek | Registered Nurse | 5625 Hansen Rd, Edina, MN 55436-2403 | 2006-07-18 |
| 1740267491 | Nancy Westman | Registered Nurse | Reed Psychological Services, Pllc, 14525 Hwy 7, Suite 255, Minnetonka, MN 55345 | 2005-12-23 |
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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.