RUSSELL BENNETT (NPI# 1558580860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558580860 |
| Entity Type | Individual |
| Full Name | RUSSELL BENNETT |
| Credential | BSN |
| Practice Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Mailing Address |
25 Kessel Ct Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
90892 | WI | Nursing Service Providers |
| Street Address |
25 KESSEL CT STE 105 |
| City | MADISON |
| State | WI |
| Zip Code | 53711-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252131 | Karen K Milner | Psychiatry & Neurology | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2006-11-16 |
| 1700485687 | Laina Macdonald | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-21 |
| 1881291821 | Bryzena Ann Santos | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-02 |
| 1871190819 | Joy Ramme | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-02 |
| 1770101768 | Lyda Thao | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-07-07 |
| 1053934943 | Kelly Ann Gregus | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-26 |
| 1891318432 | Allison Ann Ragsdale | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-18 |
| 1518589415 | Abigail Eubanks | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-13 |
| 1477199693 | Stacy Mcnall | Registered Nurse | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2019-11-22 |
| 1023574399 | Velette Reynolds | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588181861 | Kayla Ashley West | Registered Nurse | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2017-08-27 |
| 1518238708 | Barbara J Howard | Registered Nurse | 736 Jessica Taylor Dr, Madison, TN 37115-5580 | 2012-01-19 |
| 1508996646 | Saundra Thomson Bialos | Registered Nurse | 4 Samson Rock Dr, Madison, CT 06443-3005 | 2007-03-07 |
| 1871623298 | Gayle Cecelia Cheatham | Registered Nurse | 620 S.gallatin Rd., Madison, TN 37115 | 2007-03-06 |
| 1457950263 | Theresa Scheuermann | Registered Nurse | 802 E Gorham St, Madison, WI 53703-1524 | 2020-10-22 |
| 1194339424 | Ace Mentality | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718-8014 | 2020-09-03 |
| 1831723113 | Marianna Globacheva | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2020-02-26 |
| 1225684525 | Alex Lamontagne | Registered Nurse | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-08-13 |
| 1598270027 | Joseph Abraham Appenfeldt | Registered Nurse | 1320 Mendota St Ste 120, Madison, WI 53714-1060 | 2017-12-06 |
| 1851813364 | Mary K Mussey | Registered Nurse | 49 Kessel Ct, Madison, WI 53711-6275 | 2017-07-17 |
| Find all providers in MADISON | ||||
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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.