TERI ALLEGRA RUSSELL (NPI# 1679565360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679565360 |
| Entity Type | Individual |
| Full Name | TERI ALLEGRA RUSSELL |
| Credential | NP |
| Practice Address |
45 Pine St Langley Afb VA 23665-2025 |
| Mailing Address |
807 Captain John Smith Rd Newport News VA 23606-3640 |
| Practice Telephone | 7577646994 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
0024080289 | VA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467513929 | Teri Jo Russell | Dietitian, Registered | 5411 Starwood Ave, Wichita Falls, TX 76310-3339 | 2006-12-12 |
| Street Address |
45 PINE ST |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033352117 | Victor De Leon | Military Health Care Provider | 45 Pine St, Langley Afb, VA 23665-2025 | 2009-04-20 |
| 1619181062 | Loren M Jones | Otolaryngology | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-05-09 |
| 1144368069 | Claudia Lynn Sands | Podiatrist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-02-02 |
| 1487790002 | Jo Anne Merrell | Social Worker | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-01-30 |
| 1730234212 | Brian Logue | Pharmacist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-01-24 |
| 1548324619 | Pamela Mary Loveland | Emergency Medicine | 45 Pine St, 1 Medops Sq, Langley Afb, VA 23665-2025 | 2006-12-21 |
| 1164488599 | David Duane Smith | Neuromusculoskeletal Medicine, Sports Medicine | 45 Pine St, Langley Afb, VA 23665-2025 | 2006-04-25 |
| 1043284300 | Blaine A Tuft | Pediatrics | 45 Pine St, 1st Med Group/sghc, Langley Afb, VA 23665-2025 | 2006-02-14 |
| 1760452155 | Gary Leigh Cohen | Pathology | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2006-01-26 |
| 1114904539 | Matthew Gregory Niemi | Radiology | 45 Pine St, Langley Afb, VA 23665-2025 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295117893 | Angela Jones Verse | Registered Nurse | 3137 Cullenwood Dr, Richmond, VA 23234-1642 | 2015-06-19 |
| 1275944894 | Amy Mia Hall | Registered Nurse | 658 Hospital Rd Ste 304, Tappahannock, VA 22560-5000 | 2014-05-16 |
| 1831465756 | Barbara Kimberly Girardin | Registered Nurse | 1101 Madison Plz Ste 103, Chesapeake, VA 23320-5179 | 2012-03-25 |
| 1063683191 | Barbara Fallon | Registered Nurse | 74 Winster Fax, Williamsburg, VA 23185-5545 | 2008-03-17 |
| 1619187739 | Martha Wayman | Registered Nurse | 114 Grand View Dr, Hampton, VA 23664-1952 | 2007-05-24 |
| 1700845484 | Margaret R Krebs | Registered Nurse | 1630 Wilkes Creek Parkway Ste 300, Richmond, VA 23233 | 2006-03-21 |
| 1548650815 | Doris Yvett Johnson | Registered Nurse | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2015-01-26 |
| 1447588090 | Janet Lee Biancardi | Registered Nurse | 140 E Ferrell St, South Hill, VA 23970-2102 | 2009-11-19 |
| 1528231123 | Heather Christine Pickett | Registered Nurse | 125 Hospital Center Blvd, Suite 221, Stafford, VA 22554-6202 | 2008-04-04 |
| 1235308669 | Lisa Powell Perry | Registered Nurse | 2790 Godwin Blvd, Suite 375, Suffolk, VA 23434-8151 | 2008-02-29 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
Please comment or provide details below to improve the information on TERI ALLEGRA RUSSELL.
| 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.