JAN RUSSELL (NPI# 1255466645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255466645 |
| Entity Type | Individual |
| Full Name | JAN RUSSELL |
| Credential | MHS |
| Practice Address |
3760 Piper Street Suite Ll139 Anchorage AK 99504-7459 |
| Mailing Address |
Po Box 196276 Anchorage AK 99519-6276 |
| Practice Telephone | 9072126233 |
| Practice Fax Number | 9075633217 |
| Mailing Telephone | 9072126233 |
| Mailing Fax Number | 9075633217 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083672588 | Jan Renee Russell | Physical Therapy Assistant | 419 Village Dr, Ste 3, Carlisle, PA 17013 | 2006-05-03 |
| Street Address |
3760 PIPER STREET SUITE LL139 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-7459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134272008 | Mary N. Mcnurlen | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-22 |
| 1306968433 | Angela R. Cupples | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504 | 2007-04-06 |
| 1184766057 | Annabel K. Moreno | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1780726919 | Kathleen Taylor | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1972645109 | Judy Engh | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504-7459 | 2007-02-13 |
| 1326189150 | Florence Costello | Registered Nurse | 3760 Piper Street, Suite Ll139, Anchorage, AK 99504 | 2007-02-12 |
| 1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
| 1922146307 | Shane Ball | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-02-01 |
| 1184760316 | Jaimie Roberts | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-29 |
| 1376698019 | Stephanie Tasker | Specialist | 3760 Piper Street, Suite Ll139, Anchorage, AK 99508 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790742 | Danielle M Hall | Specialist | 2925 Debarr Rd Ste 399, Anchorage, AK 99508-2966 | 2018-11-27 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1982145637 | The Oriental Healing Arts Center LLC | Specialist | 2636 Spenard Rd, Anchorage, AK 99503-2336 | 2017-03-14 |
| 1720522410 | Rebecca Carter | Specialist | 5013 Marlowe Ave, A, Anchorage, AK 99508-3738 | 2016-12-14 |
| 1770035883 | Anne Honer | Specialist | 8641 Brookway Cir, Anchorage, AK 99504-4274 | 2016-10-25 |
| 1548711005 | Gordon Jay Wallis | Specialist | 142 W 5th Ave, Anchorage, AK 99501-2522 | 2016-10-19 |
| 1902258593 | Deborah Lucille Ballard | Specialist | 14225 Hancock Dr, Anchorage, AK 99515-3961 | 2016-07-07 |
| 1285086926 | Donna Jefferson | Specialist | 1000 Omalley Rd Ste 102, Anchorage, AK 99515-3083 | 2016-07-06 |
| 1558712653 | Michele Aitken | Specialist | 4850 Lake Otis Pkwy, 3333denali St. Suite 150, Anchorage, AK 99507-1419 | 2016-06-29 |
| 1962853580 | Brenda Marie Beck | Specialist | 8601 Brookway Cir, Anchorage, AK 99504-4274 | 2016-06-24 |
| Find all providers in ANCHORAGE | ||||
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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.