EVAN RUSSELL (NPI# 1639626898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639626898 |
| Entity Type | Individual |
| Full Name | EVAN RUSSELL |
| Credential | NP |
| Practice Address |
780 Albany St Boston MA 02118-2524 |
| Mailing Address |
14 Remington St Apt 101 Cambridge MA 02138-5208 |
| Practice Telephone | 8576541000 |
| Mailing Telephone | 6038199552 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2306774 | MA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN2306774 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699330589 | Evan Alexander Russell | Counselor | 2019 Norse Dr Apt 42, Pleasant Hill, CA 94523-1843 | 2019-05-06 |
| 1902211808 | Evan Russell | Internal Medicine | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2014-06-30 |
| 1609039973 | Evan T Russell | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5388 | 2008-07-08 |
| Street Address |
780 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507325 | Mary Kathleen Smith | Nurse Practitioner | 780 Albany St, Boston, MA 02118-2524 | 2005-06-13 |
| 1205445541 | Julia Nogueira Viana | Nurse Practitioner | 780 Albany St, Boston, MA 02118-2755 | 2020-07-22 |
| 1992313548 | Jasmine Yeboah-boahene | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-07-20 |
| 1750904298 | Boston Medical Center Corporation | Pharmacy | 780 Albany St, Boston, MA 02118-2755 | 2020-05-19 |
| 1134741515 | Anthony Romeo Rodriguez | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-05-08 |
| 1417583543 | Yanira Santos | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-03-20 |
| 1366078487 | Leah Snider | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-03-20 |
| 1477188043 | Deanna J Faretra | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-03-04 |
| 1023642527 | Anne Marie Murray | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-02-24 |
| 1598398638 | Sabrina Pierre | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2020-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 1649897778 | Molly Rose | Nurse Practitioner | 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 | 2020-07-06 |
| 1528686680 | Stephanie Marie Devito | Nurse Practitioner | 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 | 2020-07-06 |
| 1558988832 | Skyla Barnett | Nurse Practitioner | 21 Winfield St Apt 1, Boston, MA 02127-3485 | 2020-07-02 |
| 1871130831 | Sarah Chu | Nurse Practitioner | 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 | 2019-12-09 |
| 1851935134 | Melissa Anne Coates | Nurse Practitioner | 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 | 2019-10-30 |
| 1992348502 | Paula Jeanne Mooney | Nurse Practitioner | 800 Washington St # 70, Boston, MA 02111-1552 | 2019-10-26 |
| 1538712997 | Valerie Kiers | Nurse Practitioner | 55 Fruit St Ste 3e, Boston, MA 02114-2696 | 2019-07-24 |
| Find all providers in BOSTON | ||||
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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.