AMY R RUSSELL (NPI# 1467404020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404020 |
| Entity Type | Individual |
| Full Name | AMY R RUSSELL |
| Credential | PA-C |
| Practice Address |
266 Joule St Alcoa TN 37701-2422 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8659843864 |
| Practice Fax Number | 8653804095 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 908 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
908 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
908 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1104291459 | Amy Russell | Social Worker | 1911 E 22nd St, Cheyenne, WY 82001-4142 | 2015-12-10 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1821370263 | Amy M Russell | Pharmacist | 9101 Sun Isle Dr Ne, Saint Petersburg, FL 33702-2617 | 2011-09-12 |
| 1265634638 | Amy D Russell | Dentist | 1651 Mount Vernon Rd, Dunwoody, GA 30338-4264 | 2007-06-05 |
| 1184186397 | Amy Russell | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-04-05 |
| 1073000832 | Amy Russell | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-04-17 |
| 1013415314 | Amy Elizabeth Russell | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2018-02-01 |
| 1043733199 | Amy Jenniver Russell | Social Worker | 2950 Tennyson St, Denver, CO 80212-3029 | 2017-07-20 |
| 1508226291 | Amy Danielle Russell | Occupational Therapist | 123 Jefferson Davis Blvd, Natchez, MS 39120-5103 | 2016-02-24 |
| Street Address |
266 JOULE ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590943 | James Bradley Ray | Surgery | 266 Joule St, Alcoa, TN 37701-2422 | 2005-07-05 |
| 1831745371 | Julia Renee Zimmerman | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2019-08-12 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1487114955 | Caroline H Lutz | Registered Nurse | 266 Joule St, Alcoa, TN 37701-2422 | 2019-03-21 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1740763184 | Sara Rowe | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-12 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1518482850 | Daniel Hill Dominique | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700245388 | Alecia Nicole Colvin | Physician Assistant | 205 Corporate Pl, Alcoa, TN 37701-1940 | 2016-02-11 |
| 1417988981 | George P Gonzales | Physician Assistant | 186 Airport Plaza Blvd Ste E, Alcoa, TN 37701-3197 | 2006-07-05 |
| 1194350678 | Ilienis Perez-rios | Physician Assistant | 122 Kent Pl, Alcoa, TN 37701-1947 | 2020-03-05 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1134602352 | Olivia Callahan | Physician Assistant | 230 Associates Blvd, Alcoa, TN 37701-1943 | 2018-09-13 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1720445919 | Alexis Rouvelas Moses | Physician Assistant | 220 Associates Blvd, Alcoa, TN 37701-1943 | 2016-01-20 |
| Find all providers in ALCOA | ||||
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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.