SANDRA L RUSSELL (NPI# 1629349303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629349303 |
| Entity Type | Individual |
| Full Name | SANDRA L RUSSELL |
| Credential | FNP |
| Practice Address |
17010 Sugar Pine Dr. Houston TX 77090 |
| Mailing Address |
2150 W. 18th Street #300 Houston TX 77008 |
| Practice Telephone | 2815378627 |
| Practice Fax Number | 2815378628 |
| Mailing Telephone | 7134260027 |
| Mailing Fax Number | 7135261422 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
513234 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 202850801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671126 | Sandra Allison Russell | Clinical Nurse Specialist | 303 J H Phillips Ln, New Albany, MS 38652-7012 | 2016-10-26 |
| 1427487008 | Sandra R Russell | Day Training/Habilitation Specialist | 8920 Holly Ave Ne, Albuquerque, NM 87122-2988 | 2013-11-05 |
| 1932219581 | Sandra G Russell | Nurse Practitioner | 15 Pumping Station Rd, Petal, MS 39465-8325 | 2006-08-30 |
| 1417937723 | Sandra K Russell | Obstetrics & Gynecology | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6043 | 2006-01-20 |
| 1780819474 | Sandra Russell | Marriage & Family Therapist | 7996 Old Winding Way Ste 210, Fair Oaks, CA 95628-7159 | 2009-05-25 |
| 1366627473 | Sandra June Russell | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2008-01-08 |
| Street Address |
17010 SUGAR PINE DR. |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053730101 | Therese Obioha | Family Medicine | 17010 Sugar Pine Dr., Houston, TX 77090 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303196 | Restorative Health, LLC | Nurse Practitioner | 4654 Highway 6 N Ste 308, Houston, TX 77084-2879 | 2020-07-12 |
| 1487271623 | Lasean Denise Radway | Nurse Practitioner | 12727 Featherwood Dr Ste 103, Houston, TX 77034-4907 | 2020-07-04 |
| 1285275412 | Sonia Bassett | Nurse Practitioner | 12314 Knobcrest Dr, Houston, TX 77070-2438 | 2019-09-29 |
| 1255987152 | Seema Sadhwani Aggarwal | Nurse Practitioner | 6901 Bertner Ave # 535-c, Houston, TX 77030-3901 | 2019-08-15 |
| 1588134134 | Latrice Milbourne | Nurse Practitioner | 2727 Travis St # 728, Houston, TX 77006-3533 | 2018-11-27 |
| 1356836779 | Hassanat Hassan | Nurse Practitioner | 8123 Barnes Ridge Ln, Houston, TX 77072-0105 | 2018-06-27 |
| 1255844932 | Laura Ogbechie | Nurse Practitioner | 6770 Bertner Ave., C330, Houston, TX 77030-2604 | 2017-11-16 |
| 1831609528 | Ifeoma Jennifer Ukwamedua | Nurse Practitioner | 14611 Wynbourn Way, Houston, TX 77083-4700 | 2017-10-06 |
| 1538697289 | Norma E Puente | Nurse Practitioner | 9242 Buffalo Bend Ln, Houston, TX 77089-5800 | 2017-05-25 |
| 1467992719 | Omobolanle Mutiat Sofowora-austin | Nurse Practitioner | 2828 Hayes Rd Apt 734, Houston, TX 77082-6637 | 2017-03-06 |
| Find all providers in HOUSTON | ||||
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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.