KATHRYN RENEE-SMITH RUSSELL


Address: 825 Eastlake Ave E, Seattle, WA 98109-4405
Phone: 2062881000

KATHRYN RENEE-SMITH RUSSELL (NPI# 1447551114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447551114
Entity Type Individual
Full Name KATHRYN RENEE-SMITH RUSSELL
Credential RN, BSN, ARNP, MSN
Practice Address 825 Eastlake Ave E
Seattle
WA 98109-4405
Mailing Address Po Box 50095
Seattle
WA 98145-5095
Practice Telephone 2062881000
Mailing Telephone 2065205700
Enumeration Date 2010-11-10
Last Update Date 2016-05-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP60495735 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1447551114 05

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Office Location

Street Address 825 EASTLAKE AVE E
City SEATTLE
State WA
Zip Code 98109-4405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386637288 Stephen J Lemon Internal Medicine 825 Eastlake Ave E, Seattle, WA 98109-4405 2005-08-25
1306447834 Saaiqa Maredia Momin Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-11-02
1154921849 Kenneth Tham Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-10-30
1023625498 Ivan Jiayong Huang Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-09-29
1710599378 Christine Gleason Nurse Practitioner 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-08-17
1962023374 Deeter Ryan Neumann Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-27
1083234595 Sydney Lee Smith Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-24
1629698154 Andrew Thomas Ruplin Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-24
1396365300 Kikkeri N Naresh Pathology 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-20
1942820220 Arianne Duong Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710590179 Direct Urgent Care Inc Internal Medicine 220 6th Avenue North, Seattle, WA 98109 2020-08-26
1073147104 Hannah Christine Hoyt Registered Nurse 1354 Aloha St, Seattle, WA 98109 2020-02-27
1508402645 Emily Elizabeth Rock Counselor Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 2019-11-25
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1306316658 Laura Katie Richer Counselor 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 2018-11-29
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568850154 Cara Cook Nurse Practitioner 1504 Nw 57th St, Seattle, WA 98107-3017 2015-01-05
1548219686 Joel D Dulaigh Nurse Practitioner 7600 Sand Point Way Ne Bldg 8, Dive Medical Officer, Seattle, WA 98115-6349 2006-05-08
1851395743 Judith Kay Glann Nurse Practitioner 325 9th Ave, Seattle, WA 98104-2420 2005-06-08
1346869823 Michelle Edgett Nurse Practitioner Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98101 2020-04-14
1801433024 Lindsey Marie Vanhoy Nurse Practitioner 1959 Ne Pacific St, Seattle, WA 98195-0001 2019-12-06
1336708940 Jessica S. Kwon Nurse Practitioner 1959 Ne Pacific St, Seattle, WA 98195-0001 2019-06-07
1053976563 Joseph West Glahn Nurse Practitioner 1100 9th Ave, Seattle, WA 98101-2756 2019-05-09
1285297440 Erin Malie Gray Trump Nurse Practitioner 1959 Ne Pacific St, Seattle, WA 98195-0001 2019-04-15
1114406071 Allison Miles Nurse Practitioner 825 Eastlake Ave E, Seattle, WA 98109-4405 2018-08-11
1811481690 Kelly Anne Johnson Nurse Practitioner 1660 S Columbian Way, Seattle, WA 98108-1532 2018-06-15
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Competitor

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City SEATTLE
Zip Code 98109

Improve Information

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Dataset Information

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.

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