MS. SANDRA R RUSSELL (NPI# 1427487008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427487008 |
| Entity Type | Individual |
| Full Name | MS. SANDRA R RUSSELL |
| Practice Address |
8920 Holly Ave Ne Albuquerque NM 87122-2988 |
| Practice Telephone | 5058566880 |
| Practice Fax Number | 8007144705 |
| Mailing Telephone | 5058566880 |
| Mailing Fax Number | 8007144705 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671126 | Sandra Allison Russell | Clinical Nurse Specialist | 303 J H Phillips Ln, New Albany, MS 38652-7012 | 2016-10-26 |
| 1629349303 | Sandra L Russell | Nurse Practitioner | 17010 Sugar Pine Dr., Houston, TX 77090 | 2012-01-26 |
| 1932219581 | Sandra G Russell | Nurse Practitioner | 15 Pumping Station Rd, Petal, MS 39465-8325 | 2006-08-30 |
| 1417937723 | Sandra K Russell | Obstetrics & Gynecology | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6043 | 2006-01-20 |
| 1780819474 | Sandra Russell | Marriage & Family Therapist | 7996 Old Winding Way Ste 210, Fair Oaks, CA 95628-7159 | 2009-05-25 |
| 1366627473 | Sandra June Russell | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2008-01-08 |
| Street Address |
8920 HOLLY AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87122-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966398 | Katherine A Roe Sainz | Community/Behavioral Health | 8920 Holly Ave Ne, Albuquerque, NM 87122-2988 | 2016-08-03 |
| 1972956761 | Dianna Ruth Baca | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Suite 102-b, Albuquerque, NM 87122-2988 | 2016-07-18 |
| 1629452206 | Julia Cummings | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, 102b, Albuquerque, NM 87122-2988 | 2015-07-14 |
| 1467860486 | Brandelin Duke | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Ste 102b, Albuquerque, NM 87122-2988 | 2014-07-23 |
| 1063824522 | Russell Smith | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Albuquerque, NM 87122-2988 | 2014-06-02 |
| 1801213566 | Shayla Enzler | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Suite 102b, Albuquerque, NM 87122-2988 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426988 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 11128 Jordan Avenue Northeast, Albuquerque, NM 87122 | 2020-01-15 |
| 1457716664 | Raymond Martinez | Pharmacist | 7847 Tramway Ne, Albuquerque, NM 87122 | 2015-12-15 |
| 1891181913 | Paul Wright | Occupational Therapist | 30 Canocito Drive Ne, Albuquerque, NM 87122 | 2015-04-15 |
| 1356736615 | Tracy Pfeifer | Day Training/Habilitation Specialist | 8920 Holly Avenue Ne, Suite 102b, Albuquerque, NM 87122 | 2015-04-03 |
| 1346595071 | Jonathan Harper Kelley | Dentist | 9015 Paseo Del Norte Ne Ste A, Albuquerque, NM 87122 | 2012-07-18 |
| 1639444946 | Charlsey Leigh Mcdonald | Physical Therapist | 7920 Carmel Ave. Ne, Suite 2, Albuquerque, NM 87122 | 2012-03-20 |
| 1235462250 | Pamela Kay Limke | Pharmacist | 12112 Summer Wind Pl Ne, Albuquerque, NM 87122 | 2009-09-09 |
| 1437395332 | High Desert Pedicatrics PC | Pediatrics | 8650 Almeda Boulevard, Ne, Unit 101 E, Albuquerque, NM 87122 | 2008-12-23 |
| 1952427510 | Thomas Harry Heflin | Dentist | 8000 Carmel Ave, Albuquerque, NM 87122 | 2007-03-22 |
| 1497885032 | Thomas H Heflin Dds Pa | Dentist | 8000 Carmel Avenue Ne, Albuquerque, NM 87122 | 2007-03-06 |
| Find all providers in zip 87122 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186076 | Ohica-hadiya Ali | Day Training/Habilitation Specialist | 12700 Constitution Ave Ne Apt 9, Albuquerque, NM 87112-6067 | 2020-08-25 |
| 1265050256 | Aiyanna Amanda Woods-clark | Day Training/Habilitation Specialist | 440 Erbbe St Ne, Albuquerque, NM 87123-1138 | 2020-07-07 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1053960757 | Rachael Lauren Corchine | Day Training/Habilitation Specialist | 6401 Santa Monica Ave Ne Apt 2086, Albuquerque, NM 87109-4166 | 2019-09-05 |
| 1457909095 | Naketta Jean Wiley | Day Training/Habilitation Specialist | 7709 Amy Marie Ct Nw, Albuquerque, NM 87120-6543 | 2019-08-27 |
| 1194371948 | Lorena Luevano | Day Training/Habilitation Specialist | 10600 Andalusian Ave Sw, Albuquerque, NM 87121-8949 | 2019-08-16 |
| 1609420223 | Ru'a Maadi | Day Training/Habilitation Specialist | 1200 Avenida Cesar Chavez Se Apt 423, Albuquerque, NM 87106-3902 | 2019-07-31 |
| 1861051930 | Michelle Zaintz | Day Training/Habilitation Specialist | 7524 Saint Clair St Ne, Albuquerque, NM 87109-5434 | 2019-06-11 |
| 1801453857 | Francesca Son | Day Training/Habilitation Specialist | 10425 Mullhacen Pl Nw, Albuquerque, NM 87114-4991 | 2019-05-24 |
| 1760046163 | Cassandra R Tapia | Day Training/Habilitation Specialist | 811 Louanne Ln Nw, Albuquerque, NM 87114-8800 | 2019-05-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
Please comment or provide details below to improve the information on MS. SANDRA R RUSSELL.
| 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.