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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1447551114 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
1902149800 | Kathryn Nikole Russell | Nurse Practitioner | 3900 New Covington Pike Ste 112, Memphis, TN 38128-2526 | 2013-03-29 |
1184950313 | Kathryn Joy Russell | Dermatology | 2235 Venetian Court Suite 1, Naples, FL 34109 | 2009-10-22 |
1720188790 | Kathryn Jane Russell | Marriage & Family Therapist | 5029 Lamart Dr, #6, Riverside, CA 92507-0605 | 2006-09-22 |
1255974887 | Kathryn Russell | Specialist/Technologist | 415 Columbia Rd, Colorado Springs, CO 80904-1307 | 2019-10-27 |
1881160315 | Kathryn Anne Russell | Specialist/Technologist | 6200 College Ave, Snyder, TX 79549-6189 | 2018-10-23 |
1568940377 | Kathryn Russell | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132 | 2018-08-02 |
1750518049 | Kathryn White Russell | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 | 2009-06-15 |
Street Address |
825 EASTLAKE AVE E |
City | SEATTLE |
State | WA |
Zip Code | 98109-4405 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 98109 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
Find all providers in SEATTLE |
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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.