MRS. BRENDA ROSE RUSSELL (NPI# 1518237494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518237494 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA ROSE RUSSELL |
| Credential | LPN |
| Practice Address |
3009 Shelly Rd Ravenna OH 44266-9415 |
| Practice Telephone | 3306963875 |
| Mailing Telephone | 3306963875 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 146330 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114234747 | Brenda Russell | Speech-Language Pathologist | 167 School St, Pittsfield, ME 04967-4747 | 2010-09-02 |
| 1679547566 | Brenda R Russell | Family Medicine | 8920 Southpointe Dr, Suite B, Indianapolis, IN 46227-7509 | 2006-02-15 |
| 1548899511 | Brenda Renee Russell | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2020-04-02 |
| 1821591793 | Brenda Russell | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-16 |
| 1114166212 | Brenda Russell | Day Training/Habilitation Specialist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2009-02-12 |
| 1225289176 | Brenda Sue Russell | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2008-10-08 |
| 1922201169 | Brenda Novella Russell | Nurse Practitioner | 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 | 2007-06-06 |
| 1629128541 | Brenda Russell | Massage Therapist | 8725 Wadsworth Blvd, Unit A, Westminster, CO 80003-0928 | 2007-01-11 |
| Street Address |
3009 SHELLY RD |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417408626 | Karen Flessner | Licensed Practical Nurse | 821 Buell Ave, Ravenna, NE 68869-1071 | 2016-10-23 |
| 1982059978 | Donna Rae Clark | Licensed Practical Nurse | 3097 Pondview Dr, Ravenna, OH 44266-9051 | 2016-04-27 |
| 1538589759 | Dawnettecoulbourne L Coulbourne I | Licensed Practical Nurse | 4575 Hayes Rd, Ravenna, OH 44266-3711 | 2014-04-27 |
| 1609292820 | Lori Grace Pierce | Licensed Practical Nurse | 1062 Mechanic Ave, Ravenna, OH 44266-1406 | 2014-03-12 |
| 1710318027 | Pamela Eilene Hattle | Licensed Practical Nurse | 3192 Shawnee Trail, Ravenna, OH 44266 | 2013-12-12 |
| 1144665480 | Amanda Rae Plocki | Licensed Practical Nurse | 3232 Rausch Ave, Ravenna, OH 44266-1602 | 2013-04-30 |
| 1336582337 | Dana Angela Donovan | Licensed Practical Nurse | 5943 Sr 303, Ravenna, OH 44266-9123 | 2013-04-10 |
| 1598012494 | Leanne M Tierney | Licensed Practical Nurse | 730 Woodgate Blvd, Apt 103, Ravenna, OH 44266-4134 | 2012-08-09 |
| 1427344241 | Tanya Marie Holcomb | Licensed Practical Nurse | 3781 Summit Rd, Ravenna, OH 44266-3589 | 2011-06-20 |
| 1194021725 | Jennifer Ann Lorenz | Licensed Practical Nurse | 8513 Infirmary Rd, Ravenna, OH 44266-9708 | 2011-01-29 |
| Find all providers in RAVENNA | ||||
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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.