MARY RUSSELL (NPI# 1265837025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265837025 |
| Entity Type | Individual |
| Full Name | MARY RUSSELL |
| Credential | FNP |
| Practice Address |
1519 Clifftop Ave San Marcos CA 92078-1075 |
| Practice Telephone | 7605223941 |
| Mailing Telephone | 7605223941 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
FNP 95000801 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720551203 | Mary Kathleen Russell | Speech-Language Pathologist | 110 E Huron Ave Ste A, Bad Axe, MI 48413-1312 | 2019-01-07 |
| 1609253145 | Mary Kathleen Russell | Ophthalmology | 259 E Erie St Ste 1500, Chicago, IL 60611-3111 | 2015-05-05 |
| 1538413323 | Mary Ann Russell | Counselor | 1309 Pioneer Ave Ne, Olympia, WA 98506-3356 | 2012-11-01 |
| 1194019158 | Mary Elizabeth Russell | Physical Medicine & Rehabilitation | 920 Medical Plaza Dr Ste 340, Shenandoah, TX 77380-3256 | 2011-06-07 |
| 1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
| 1659435915 | Mary Catherine Russell | Nurse Practitioner | 3710 Sw Us Veterans Hosp Rd, Portland, OR 97207 | 2006-12-21 |
| 1548320047 | Mary E Russell | Internal Medicine | 343 Russell St, Carlisle, MA 01741-1713 | 2006-12-12 |
| 1083711808 | Mary Michelle Russell | Physical Therapist | 1 Bates Blvd Ste 100, Orinda, CA 94563-2800 | 2006-09-20 |
| 1447258652 | Mary C Russell | Nurse Practitioner | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-07-12 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| Street Address |
1519 CLIFFTOP AVE |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037750 | Trudy Ann Meehan | Nurse Practitioner | 332 Perry St, San Marcos, TX 78666-8803 | 2020-09-10 |
| 1386276442 | Maria Waterbury | Nurse Practitioner | 208 Sowing Oak Dr, San Marcos, TX 78666-3376 | 2020-02-06 |
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1548733744 | Jamie Lynn Christensen | Nurse Practitioner | 2800 Highway 21, San Marcos, TX 78666-8861 | 2019-01-10 |
| 1487131421 | Illiana Turnini | Nurse Practitioner | 113 Old Settlers Dr, San Marcos, TX 78666-7779 | 2018-07-23 |
| 1326539065 | James Joseph Zapf Jr. | Nurse Practitioner | 277 Rancheros Dr Ste 101, San Marcos, CA 92069-2976 | 2018-05-29 |
| 1396244810 | Jennifer Spahr | Nurse Practitioner | 1531 Grand Ave Ste C, San Marcos, CA 92078-2463 | 2018-02-10 |
| 1851801070 | Rosalind Marie Holliday | Nurse Practitioner | 1228 N State Highway 123, San Marcos, TX 78666-7730 | 2017-10-02 |
| 1538689310 | Jennifer Michelle Coyle | Nurse Practitioner | 838 Nordahl Rd Fl 3, San Marcos, CA 92069-3595 | 2017-06-22 |
| 1588115935 | Nuch of Texas | Nurse Practitioner | 155 Wonder World Drive, San Marcos, TX 78666-7697 | 2016-10-20 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
Please comment or provide details below to improve the information on MARY RUSSELL.
| 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.