KEELEY CLAIRE RUSS (NPI# 1376197194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376197194 |
| Entity Type | Individual |
| Full Name | KEELEY CLAIRE RUSS |
| Credential | APRN-CNP |
| Practice Address |
1105 Hudson Ln Monroe LA 71201-6003 |
| Mailing Address |
394 Forest Cir Ruston LA 71270-2666 |
| Practice Telephone | 3183226500 |
| Practice Fax Number | 3183225118 |
| Mailing Telephone | 3185484066 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
207481 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1105 HUDSON LN |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063666212 | Family Solutions Counseling Center | Counselor | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2008-11-13 |
| 1154928976 | Ana-alicia Gouge | Counselor | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2020-10-05 |
| 1073070322 | Stephen Tyler Shockey | Counselor | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2019-02-22 |
| 1336622729 | Quinteisha Jenkins Hundley | Counselor | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053838680 | Simply Sound Mind, LLC | Nurse Practitioner | 300 Washington St Ste 208, Monroe, LA 71201-6762 | 2017-08-24 |
| 1083755300 | Maureen Diane Cook | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2007-02-09 |
| 1609482488 | Queshaun Svante Sudbury | Nurse Practitioner | 2513 Ferrand St, Monroe, LA 71201-3210 | 2020-09-17 |
| 1235744608 | Debbie Jean Pierce | Nurse Practitioner | 2404 Duval Dr, Monroe, LA 71201-2986 | 2020-09-13 |
| 1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
| 1295385276 | Pamela Felicia Nelome | Nurse Practitioner | 709 Breedlove Dr, Monroe, GA 30655-2055 | 2019-09-12 |
| 1437643608 | Joshua Valinsky | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-06-20 |
| 1396239224 | Kristen Coles Johnson | Nurse Practitioner | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2018-06-14 |
| 1033636188 | Michelle Neyer | Nurse Practitioner | 1001 S Raisinville Rd, Monroe, MI 48161-0726 | 2017-08-29 |
| 1508318478 | Laura Bates | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2016-10-26 |
| Find all providers in MONROE | ||||
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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.