JESSICA RUSSELL (NPI# 1396192258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192258 |
| Entity Type | Individual |
| Full Name | JESSICA RUSSELL |
| Practice Address |
7712 Lake Ridge Dr Waterford MI 48327-4164 |
| Practice Telephone | 2485057204 |
| Mailing Telephone | 2485057204 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703109555 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1043693872 | Jessica Russell | Occupational Therapist | 302 Sadie Douglas Cir, Shreveport, LA 71106-7689 | 2015-06-29 |
| 1407120967 | Jessica Jean Russell | Massage Therapist | 219 S 4th St E, Missoula, MT 59801-2725 | 2012-03-01 |
| 1619103603 | Jessica Rylant Russell | Occupational Therapist | 4450 Landward Dr, Millbrook, AL 36054-2206 | 2009-06-03 |
| 1184776692 | Jessica Nicole Jack Russell | Social Worker | 425 Niles Cortland Rd Se, Warren, OH 44484-2478 | 2007-01-17 |
| 1174121602 | Jessica Russell | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-16 |
| 1164049516 | Jessica Marie Russell | Physical Therapist | 2502 S Nc Highway 119, Mebane, NC 27302-9565 | 2020-07-01 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1821632100 | Jessica Russell | Student in an Organized Health Care Education/Training Program | 311 Whittington Ave, Hot Springs, AR 71901-3407 | 2019-10-30 |
| 1427605401 | Jessica Russell | Behavioral Analyst | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2019-08-23 |
| Street Address |
7712 LAKE RIDGE DR |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502448 | Leah Bannister | Licensed Practical Nurse | 5 Towpath Ln, Waterford, NY 12188-4012 | 2020-06-09 |
| 1952761603 | Marla Mcgettrick | Licensed Practical Nurse | 5343 Highland Rd, Waterford, MI 48327-1949 | 2016-02-23 |
| 1265802854 | Toni Williams | Licensed Practical Nurse | 794 E Alpha Pkwy, Waterford, MI 48328-2708 | 2015-09-25 |
| 1013398403 | Bonnie Carrier | Licensed Practical Nurse | 7195 Banks, Waterford, MI 48327-3703 | 2015-06-11 |
| 1073991253 | Holly Gardner | Licensed Practical Nurse | 356 Pine Creek Ct, Waterford, MI 48327-1586 | 2015-05-08 |
| 1568863298 | Aksinia Kantcheva | Licensed Practical Nurse | 633 Hillcliff Dr, Waterford, MI 48328-2525 | 2014-09-12 |
| 1619378445 | Kari Fisk | Licensed Practical Nurse | 7227 Arbor Trl, Waterford, MI 48327-4506 | 2014-09-11 |
| 1720487366 | Jodi Flynn | Licensed Practical Nurse | 7422 View Ct, Waterford, MI 48327-3793 | 2014-08-20 |
| 1619385416 | Linda Lee Davenport | Licensed Practical Nurse | 1295 Jeffwood Dr, Waterford, MI 48327-2030 | 2014-07-24 |
| 1568711604 | Claran Stovich | Licensed Practical Nurse | 8216 Anna Ave, Waterford, WI 53185-1383 | 2012-09-05 |
| Find all providers in WATERFORD | ||||
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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.