MARY EILEEN KUMAH RUSSELL (NPI# 1417518747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417518747 |
| Entity Type | Individual |
| Full Name | MARY EILEEN KUMAH RUSSELL |
| Credential | ACNP |
| Practice Address |
6644 E Baywood Ave Mesa AZ 85206-1747 |
| Mailing Address |
898 S Osborn Ln Gilbert AZ 85296-1463 |
| Practice Telephone | 4806124320 |
| Mailing Telephone | 4806124320 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
228209 | AZ | 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 |
| 1265837025 | Mary Russell | Nurse Practitioner | 1519 Clifftop Ave, San Marcos, CA 92078-1075 | 2014-10-22 |
| 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 |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060233 | Ashley M Reed | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2005-08-12 |
| 1215546882 | Kylee A Read | Occupational Therapist | 6644 E Baywood Ave, Mesa, AZ 85206 | 2020-07-29 |
| 1629696638 | Barbara Izabela Rutkowski | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-07-07 |
| 1518580844 | Aisha Bales | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-21 |
| 1366064156 | Michael Martin Moreau | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-14 |
| 1316568454 | Bhagyashree Barlingay M D P C | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-04-29 |
| 1255967394 | Garet Joshua Powell | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-03-20 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| 1891250759 | Alison Renae Arpaia | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-02-05 |
| 1285114330 | Erin Rzeczkowski | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2018-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986224 | Jodi E Bray | Nurse Practitioner | 244 N Extension Rd, Mesa, AZ 85201-6300 | 2020-06-09 |
| 1023666146 | Nancy Fulmore | Nurse Practitioner | 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 | 2019-09-02 |
| 1467901769 | Ampili Umayamma | Nurse Practitioner | 5252 E Main St, Mesa, AZ 85205-8022 | 2016-09-27 |
| 1568823821 | Nicole Renee Mott | Nurse Practitioner | 455 E 4th Pl, Mesa, AZ 85203-7101 | 2016-03-15 |
| 1730579426 | Cynthia Devine | Nurse Practitioner | 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1760090427 | Debra Shannon Witthar | Nurse Practitioner | 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 | 2020-07-20 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
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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.