VINITTA LYNN RUSSELL (NPI# 1417460973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460973 |
| Entity Type | Individual |
| Full Name | VINITTA LYNN RUSSELL |
| Credential | CPSS |
| Practice Address |
500 N Main St Ste 4 Summerville SC 29483-6439 |
| Practice Telephone | 8438714790 |
| Mailing Telephone | 8438714790 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | SC | Other Service Providers |
| Street Address |
500 N MAIN ST STE 4 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538104997 | Shalon Kalole Sherrill | Social Worker | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2006-06-19 |
| 1265095459 | Ciara Marie Cuthbert | Social Worker | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2019-04-15 |
| 1275970154 | Julianne Dicicco-wiles | Behavioral Analyst | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2013-05-31 |
| 1295179125 | Elisabeth Lufkin Collins | Counselor | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2013-04-22 |
| 1205179520 | Karletta Anderson | Counselor | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2013-04-04 |
| 1134468762 | Pumla Pamla-gutter | Behavioral Analyst | 500 N Main St Ste 4, Summerville, SC 29483-6439 | 2013-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492315 | Ethel B Denmark | Peer Specialist | 211 Paige Point Rd., Sheldon, SC 29941 | 2020-03-13 |
| 1801426457 | Victor Dean Colvard | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-01-23 |
| 1023651957 | Sean Anthony Maxwell | Peer Specialist | 178 Highway 321 Bypass N., Winnsboro, SC 29180 | 2019-10-23 |
| 1205314234 | Lisa Marie Allen | Peer Specialist | 205 Piedmont Blvd # 100, Rock Hill, SC 29732-1836 | 2018-08-01 |
| 1740887637 | Erin Dulik | Peer Specialist | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-10-05 |
| 1588272777 | Napoleon Gregory | Peer Specialist | 130 Hudson St, Chester, SC 29706-1524 | 2020-07-14 |
| 1366079626 | Angela B. Ball | Peer Specialist | 2715 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-26 |
| 1790310852 | Ines D Figueroa | Peer Specialist | 719 Okatie Hwy # 170, Okatie, SC 29909-3963 | 2020-03-10 |
| 1013556372 | David Ramsey | Peer Specialist | 1068 S Lake Dr, Lexington, SC 29073-3720 | 2020-01-03 |
| 1770121394 | Michael Wade Crouch | Peer Specialist | 309 E Main St, Pickens, SC 29671-2319 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.