MELINDA ROCHELLE RUSSELL


Address: 23999 Northwestern Hwy Ste 114, Southfield, MI 48075-2578
Phone: 2482788937

MELINDA ROCHELLE RUSSELL (NPI# 1548758543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548758543
Entity Type Individual
Full Name MELINDA ROCHELLE RUSSELL
Credential NP
Practice Address 23999 Northwestern Hwy Ste 114
Southfield
MI 48075-2578
Mailing Address 18701 Bretton Dr
Detroit
MI 48223-1379
Practice Telephone 2482788937
Mailing Telephone 3137039710
Enumeration Date 2018-04-25
Last Update Date 2018-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704266784 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI NURSE PRACTITIONER 4704266784 01

Other Providers MELINDA RUSSELL

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Office Location

Street Address 23999 NORTHWESTERN HWY STE 114
City SOUTHFIELD
State MI
Zip Code 48075-2578

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174993174 Elizer Garcia General Practice 23999 Northwestern Hwy Ste 114, Southfield, MI 48075 2015-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851932446 Adina Derecichei Parrish Nurse Practitioner 22255 Greenfield Rd Ste 422, Southfield, MI 48075-3730 2019-10-04
1447813092 Violette Abellera Concepcion Nurse Practitioner 17515 W 9 Mile Rd Ste 200, Southfield, MI 48075-4404 2019-04-18
1083172878 Jaafer Beydoun Nurse Practitioner 20180 W 12 Mile Rd Ste 200, Southfield, MI 48076-5412 2019-03-11
1902398787 Fatoumata Moukir Ndukwe Nurse Practitioner 24450 Evergreen Road, 215, Southfield, MI 48075-2022 2018-06-06
1861984817 Danielle Marguerite Macintosh Nurse Practitioner 25130 Southfield Rd Ste 120, Southfield, MI 48075-1900 2018-06-05
1609393313 Kimiko Parks Nurse Practitioner 29866 Spring Hill Dr, Southfield, MI 48076-5735 2017-08-23
1497114904 Madeline Jenkins Succar Nurse Practitioner 16310 W 12 Mile Rd, Southfield, MI 48076-2925 2016-02-12
1629457213 Deanna Chew Nurse Practitioner 20905 Greenfield Rd Ste 406, Southfield, MI 48075-5348 2015-05-28
1831591551 Zahera Husaini Nurse Practitioner 20905 Greenfield Rd Ste 502, Southfield, MI 48075-5351 2014-09-25
1902044308 Gail Lee Johnson Nurse Practitioner 26957 Northwestern Hwy, Suite 400, Southfield, MI 48033-4700 2009-01-23
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Competitor

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City SOUTHFIELD
Zip Code 48075

Improve Information

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Dataset Information

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.

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