KERRI D. RUSSELL (NPI# 1699046813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699046813 |
| Entity Type | Individual |
| Full Name | KERRI D. RUSSELL |
| Credential | PT |
| Practice Address |
4301 Greathouse Springs Rd Springdale AR 72762-8701 |
| Mailing Address |
5501 Willow Creek Dr Springdale AR 72762-8704 |
| Practice Telephone | 4796843000 |
| Mailing Telephone | 4796408319 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 378 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4301 GREATHOUSE SPRINGS RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045056 | South Arkansas Emergency Physicians, LLP | Hospitalist | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2013-12-19 |
| 1174877369 | Lorie Lynn Elsea | Nurse Practitioner | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2012-11-09 |
| 1902110547 | Johnson Emergency Group LLC | Physician Assistant | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2010-08-05 |
| 1295967917 | Heather Newell | Nurse Practitioner | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2009-08-13 |
| 1023240744 | Scott Grigg | Nurse Practitioner | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2009-08-13 |
| 1942432661 | Sujen Arbuckle | Nurse Practitioner | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2009-08-13 |
| 1245461359 | Kristin Evans | Nurse Practitioner | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | 2009-08-06 |
| 1093945834 | Serena Michelle Pierson | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Suite 100, Springdale, AR 72762-0000 | 2009-07-14 |
| 1629225362 | Rachel E Farrell | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 | 2008-08-25 |
| 1811160690 | Alexis Nicole Mccollum | Obstetrics & Gynecology | 4301 Greathouse Springs Rd, Ste 100, Springdale, AR 72762 | 2008-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
| 1710100730 | Joanne A Goluch | Physical Therapist | 403 W Maple Ave, Springdale, AR 72764-5333 | 2007-04-10 |
| 1225683808 | Jacob Kettner | Physical Therapist | 6815 Isaacs Orchard Rd Ste D, Springdale, AR 72762-6285 | 2019-08-09 |
| 1104483106 | Nancy Heuer | Physical Therapist | 3291 S Thompson St Ste C103, Springdale, AR 72764-7343 | 2019-05-24 |
| 1164904348 | Steven Corbin Gorgas | Physical Therapist | 6815 Isaacs Orchard Rd, Springdale, AR 72762-6324 | 2018-09-04 |
| 1558841700 | Paris Nicole Richardson | Physical Therapist | 922 E Emma Ave, Springdale, AR 72764-4503 | 2018-08-17 |
| 1023405420 | Vivo Sano Kids | Physical Therapist | 922 E Emma Ave, Springdale, AR 72764-4503 | 2015-04-23 |
| 1760622047 | All Aboard Pediatric Therapy | Physical Therapist | 5230 Willow Creek Dr, Suite 101, Springdale, AR 72762-0876 | 2009-02-26 |
| 1669685962 | Tonya Yvette Smith | Physical Therapist | 609 W Maple Ave, Springdale, AR 72764-5335 | 2007-05-07 |
| 1588877864 | Merilee Gamble Booker | Physical Therapist | 609 W Maple Ave, Springdale, AR 72764-5335 | 2007-05-07 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on KERRI D. 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.