TIFFANY RUSSELL (NPI# 1457749707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457749707 |
| Entity Type | Individual |
| Full Name | TIFFANY RUSSELL |
| Practice Address |
1522 14th Ave S Grand Forks ND 58201-5312 |
| Practice Telephone | 7016106102 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267365 | Tiffany Russell | Marriage & Family Therapist | 5629 W 13100 S, Herriman, UT 84096-6921 | 2018-12-21 |
| 1992150742 | Tiffany Russell | Social Worker | 210 E Main St Ste 16, Niles, MI 49120-2376 | 2016-04-29 |
| 1518308386 | Tiffany Omobola Russell | Pharmacist | 327 Hope Bay Loop, Apollo Beach, FL 33572-3533 | 2013-07-09 |
| 1245532944 | Tiffany Milan Russell | Chiropractor | 12080 Skyhawk Dr, Unit B, Waynesboro, PA 17268-8305 | 2010-12-01 |
| 1811525595 | Tiffany Lee Russell | Student in an Organized Health Care Education/Training Program | 250 Park St, Bowling Green, KY 42101-1760 | 2020-03-30 |
| 1972155158 | Tiffany Sherrie Russell | Technician | 3175 S Eastern Ave, Las Vegas, NV 89169-3308 | 2019-07-09 |
| 1134487960 | Tiffany S. Russell | Specialist | 5 Remington Dr, Little Rock, AR 72204-8202 | 2012-04-30 |
| 1144529645 | Tiffany Russell | Community Health Worker | 120 S 24th St, Ste 100, Omaha, NE 68102-1213 | 2011-03-23 |
| 1124254123 | Tiffany E Russell | Internal Medicine | 87 Merchant Dr, Montrose, CO 81401-3015 | 2009-06-03 |
| Street Address |
1522 14TH AVE S |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976534 | Erica Wiechert | Student in an Organized Health Care Education/Training Program | 3850 Gardenview Dr Apt 209, Grand Forks, ND 58201-7154 | 2020-03-07 |
| 1740826817 | Kyler Delancey | Student in an Organized Health Care Education/Training Program | 409 Cambridge St, Grand Forks, ND 58203-2836 | 2019-11-22 |
| 1841759164 | Mark Bushaw | Student in an Organized Health Care Education/Training Program | 2850 36th Ave S Apt C6, Grand Forks, ND 58201-3583 | 2019-03-16 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| 1124648753 | Caitlin Sisson | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1316567944 | Whitney Tingle | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1922628551 | Ashlyn Kamrath | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1194345736 | Ashley Skonieczny | Student in an Organized Health Care Education/Training Program | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| 1235764432 | Mikala Jo Springer | Student in an Organized Health Care Education/Training Program | 2751 2nd Ave N, Grand Forks, ND 58202-6060 | 2020-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821471 | Kari Hanson | Student in an Organized Health Care Education/Training Program | 4822 N 19th St, Bismarck, ND 58503-5687 | 2020-11-03 |
| 1710597091 | Taylor Vistad | Student in an Organized Health Care Education/Training Program | 1220 5th Ave Ne, Devils Lake, ND 58301-1934 | 2020-08-03 |
| 1609497965 | Austin Richard Hoggarth | Student in an Organized Health Care Education/Training Program | 15010 Sundown Dr, Bismarck, ND 58503-9207 | 2020-04-28 |
| 1265093900 | Coty Winn | Student in an Organized Health Care Education/Training Program | Minot Afb Medical Group, 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-24 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1396203709 | Victoria Ann Davis | Student in an Organized Health Care Education/Training Program | 1340 Administration Avenue, Fargo, ND 58105 | 2019-03-05 |
| 1598229585 | Natalie Jean Steblay | Student in an Organized Health Care Education/Training Program | 1638 9th St N, Fargo, ND 58102-2210 | 2019-01-24 |
| 1063922961 | Michael Rowles | Student in an Organized Health Care Education/Training Program | 211 W Burleigh Ave Apt 304, Bismarck, ND 58504-9042 | 2017-10-05 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1548797368 | Nicole Wirth | Student in an Organized Health Care Education/Training Program | 2765 Dublin Dr, Bismarck, ND 58503-6433 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.