SHONTERIA RUSSELL (NPI# 1629511787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629511787 |
| Entity Type | Individual |
| Full Name | SHONTERIA RUSSELL |
| Practice Address |
755 Millers Point Rd Sparta TN 38583-1236 |
| Practice Telephone | 9317389906 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3786 | TN | Behavioral Health & Social Service Providers |
| Street Address |
755 MILLERS POINT RD |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193367 | Renata Jachna | Counselor | 46 Main St Ste 402, Sparta, NJ 07871-1910 | 2019-09-12 |
| 1205346889 | Caryn Dambra | Counselor | 172 Woodport Rd Ste D, Sparta, NJ 07871-2610 | 2017-10-09 |
| 1609399625 | Vicki Lynn Riley | Counselor | 14301 County Highway B Bldg A19, Sparta, WI 54656-0044 | 2017-07-21 |
| 1578010674 | Lakeside Counseling Associates, LLC | Counselor | 350 Sparta Ave Ste C2a, Sparta, NJ 07871-1123 | 2016-09-06 |
| 1275994899 | Danah Rumble | Counselor | 200 Woodport Rd Ste B, Sparta, NJ 07871-2628 | 2016-03-09 |
| 1568891646 | Lois Ferguson | Counselor | 10 Poplar Tree Ln, Sparta, NJ 07871-2317 | 2013-11-08 |
| 1184065666 | Jennifer L Murphy | Counselor | 1 E Bockman Way Rm 205, Sparta, TN 38583-2034 | 2013-07-11 |
| 1932341625 | Anthony Lombardo | Counselor | 24 Cottage Ln, Sparta, NJ 07871-4000 | 2009-03-27 |
| 1578719357 | Linda Jeanne Rooney | Counselor | 8 Megan Terr., Sparta, NJ 07871 | 2008-08-13 |
| 1730352923 | George Keith Howell | Counselor | 159 Mitchell Mountain Rd, Sparta, NC 28675-8470 | 2008-04-08 |
| Find all providers in SPARTA | ||||
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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.