CARLYN MARIE RUSSELL (NPI# 1306496856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306496856 |
| Entity Type | Individual |
| Full Name | CARLYN MARIE RUSSELL |
| Practice Address |
8600 Old Georgetown Rd Bethesda MD 20814-1422 |
| Mailing Address |
26 Streamside Pl Falling Waters WV 25419-4358 |
| Practice Telephone | 3018963100 |
| Mailing Telephone | 2402775959 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R179138 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8600 OLD GEORGETOWN RD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311035 | Steven Wilks | Family Medicine | 8600 Old Georgetown Rd, Attn: Medical Staff Office/angela Speck, Bethesda, MD 20814-1422 | 2005-07-29 |
| 1730793506 | Precious Chinagoro Ohagwu | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-08-31 |
| 1124637418 | Umair Ansari | Pharmacist | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-07-23 |
| 1457989949 | Hajafatmata Binta Bah | Family Medicine | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2020-03-30 |
| 1801423413 | Karalyn Rabin | Registered Nurse | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2020-03-24 |
| 1952942666 | Reza Moghaddasnia | Surgery | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-10-03 |
| 1578104691 | Jordan Leigh Kestler | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1497 | 2019-09-30 |
| 1144880477 | Olivia Tullier | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-06-18 |
| 1699231563 | Samora Charles Lungu | Physician Assistant | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
| 1982160891 | Blaine Gray | Nurse Practitioner | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 | 2019-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1407454671 | Yasamin Baghaipour | Nurse Practitioner | 10115 Parkwood Dr, Bethesda, MD 20814-4033 | 2020-10-11 |
| 1174132682 | Touko Leuga | Nurse Practitioner | 6410 Rockledge Dr Ste 110, Bethesda, MD 20817-1825 | 2020-07-30 |
| 1073170346 | Tonya Lynn Jenkins | Nurse Practitioner | 10 Center Drive 3ne, Bethesda, MD 20892-0001 | 2019-05-22 |
| 1366909848 | Crystal Flowers | Nurse Practitioner | Bg 10-crc Rm 1-3750, 10 Center Dr, Bethesda, MD 20814 | 2019-02-21 |
| 1043718653 | Mahsa Motevalli | Nurse Practitioner | 8600 Old Georgetown Rd Fl 6, Bethesda, MD 20814 | 2018-01-29 |
| 1558806778 | Keshia C Thompson | Nurse Practitioner | National Institutes of Health Building 10, Room 2c145, Bethesda, MD 20892-1662 | 2016-12-23 |
| 1083160402 | Britanny Brooke Solarz | Nurse Practitioner | 10 Center Drive Building 10 2b46, Bethesda, MD 20892-0001 | 2016-08-26 |
| 1710333281 | Deirdre Fionna Angelastro | Nurse Practitioner | 4938 Saint Elmo Ave, Bethesda, MD 20814-6008 | 2016-05-13 |
| 1902262447 | Relia Atienza | Nurse Practitioner | National Institute of Br, 10 Center Drive, Bethesda, MD 20892-0001 | 2016-01-13 |
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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.