THERESA RUSSELL (NPI# 1487808119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487808119 |
| Entity Type | Individual |
| Full Name | THERESA RUSSELL |
| Practice Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R 148946-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MCR RAILROAD MEDICARE | P01021872 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295266674 | Theresa Russell | Social Worker | 350 N Federal Hwy, 715, Boynton Beach, FL 33435-4171 | 2017-03-27 |
| 1023372992 | Theresa Delores Russell | Physical Therapy Assistant | 11577 Rio Secco Rd, Peyton, CO 80831-4031 | 2012-06-26 |
| 1629061981 | Theresa A Russell | Nurse Practitioner | 406 Ne 1st St, Enterprise, OR 97828-1168 | 2005-08-23 |
| 1457750895 | Theresa M. Russell | Counselor | 428 S 36th St, Quincy, IL 62301-5924 | 2014-08-21 |
| 1255465530 | Theresa Joanne Russell | Specialist | 5494 Pony Express Trail, Pollock Pines, CA 95726 | 2007-03-16 |
| Street Address |
200 1ST ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031875 | Christine Maria Miller | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-05-27 |
| 1184225898 | Ellen Renne Larkin | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-08 |
| 1972104180 | Malinda Marie Wilcox | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1720689920 | Tammy Lynn Perttula | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1619578721 | Aaron Anderson | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1093316598 | Rebecca Lea Parttridge | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1710588173 | Eduardo Gabriel Danduch | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1962002030 | Taylor Jeanne Jamison | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1619577640 | Hayden Taylor Middleton | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1295335461 | Vivek Sureshchandran Tharayil | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820954 | Jacqueline Michalko | Nurse Practitioner | 601 Elmwood Ave # 619-736, Rochester, NY 14642-0001 | 2019-06-18 |
| 1306331459 | Lindsay Ann Watkins | Nurse Practitioner | 601 Elmwood Ave Unit 716, Rochester, NY 14642-0002 | 2018-06-29 |
| 1588064083 | Brittany A Swift | Nurse Practitioner | 32 Keswick Rd, Rochester, NY 14609-3309 | 2014-09-03 |
| 1891091575 | Rebecca Tucker | Nurse Practitioner | 610 Elmwood Ave, Rochester, NY 14642 | 2011-01-28 |
| 1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
| 1700970225 | Joanne Vandevalk Clements | Nurse Practitioner | 601 Elmwood Ave, Box 604, Preadmission Evaluation Center, Rochester, NY 14642 | 2006-10-02 |
| 1891803177 | Kristine Elisabeth Miller | Nurse Practitioner | 1600 Chili Ave, Ste 200, Rochester, NY 14624 | 2006-08-28 |
| 1619083292 | Darby Leyden | Nurse Practitioner | 601 Elmwood Ave # 619-10, Rochester, NY 14642-0001 | 2006-08-23 |
| 1184676322 | Theresa M Domagola | Nurse Practitioner | 101 Canal Landing Blvd, Suite 8, Rochester, NY 14626-5109 | 2006-05-16 |
| 1861497182 | Krista L. Prinzi | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2005-06-14 |
| Find all providers in ROCHESTER | ||||
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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.