MS. LISA MICHELLE RUSSELL (NPI# 1760551212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760551212 |
| Entity Type | Individual |
| Full Name | MS. LISA MICHELLE RUSSELL |
| Credential | LMT |
| Practice Address |
1803 Miccosukee Commons Dr Ste 202 Tallahassee FL 32308 |
| Mailing Address |
1950 N Point Blvd #1012 Tallahassee FL 32308 |
| Practice Telephone | 8504020200 |
| Practice Fax Number | 8504020564 |
| Mailing Telephone | 8503214482 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA36347 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730514316 | Lisa Dawn Russell | Nurse Practitioner | 1343 County Road 1450 E, Carmi, IL 62821-5205 | 2013-09-13 |
| 1710290671 | Lisa R Russell | Occupational Therapist | 3999 Whispering Trails Ct, Hoffman Estates, IL 60192-1547 | 2010-07-21 |
| 1821614371 | Lisa Evealine Russell | Day Training/Habilitation Specialist | 804 Industrial Park Rd, Maxwelton, WV 24957-8066 | 2020-06-21 |
| 1154774651 | Lisa Russell | Midwife | 4222 Mcintosh Ln, Sarasota, FL 34232-5027 | 2016-07-20 |
| 1467806406 | Lisa Russell | Specialist/Technologist, Other | 200 7th Ave, Suite 150, Santa Cruz, CA 95062-4668 | 2016-04-15 |
| 1871974865 | Lisa Pearse Russell | Nurse Practitioner | 346 Maine St, Lawrence, KS 66044-1393 | 2015-06-15 |
| 1639500937 | Lisa Russell | Physical Therapist | 555 Amory St, Jamaica Plain, MA 02130-2652 | 2013-12-12 |
| 1700150976 | Lisa Marie Russell | Dentist | 655 Clinic Rd, Suite 110, Hannibal, MO 63401-3647 | 2012-03-05 |
| 1649509498 | Lisa Marie Russell | Pharmacist | 1250 S Wheeler St, Jasper, TX 75951-5120 | 2009-12-08 |
| 1225108046 | Lisa A Russell | Physical Therapy Assistant | 1204 Frye St, Athens, TN 37303 | 2006-11-09 |
| Street Address |
1803 MICCOSUKEE COMMONS DR STE 202 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932184652 | Raymond Paul Radanovich | Radiology | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2005-12-15 |
| 1013405125 | Christopher Collins | Social Worker | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308 | 2018-04-24 |
| 1336637685 | Danielle Toussaint Johnson | Social Worker | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308 | 2018-04-23 |
| 1285174540 | Alexandria Mazzei | Registered Nurse | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2017-03-06 |
| 1033568308 | Hanna Ling | Nurse Practitioner | 1803 Miccosukee Commons Dr, Suite 202, Tallahassee, FL 32308-7403 | 2016-06-08 |
| 1639552888 | Susan Alvarez | Nurse Practitioner | 1803 Miccosukee Commons Dr, Ste 201, Tallahassee, FL 32308-7403 | 2015-07-07 |
| 1477934719 | Bashonda Mccloud | Registered Nurse | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2015-06-12 |
| 1053741058 | Jasmine Denise Hall | Social Worker | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2013-11-13 |
| 1891098026 | Allison Leigh Johnson Howell | Registered Nurse | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2010-12-09 |
| 1003095829 | Sonya F Hadley | Physical Therapist | 1803 Miccosukee Commons Dr, Suite 202, Tallahassee, FL 32308-5433 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929978 | Ora Fabian Enaytzadah | Massage Therapist | 723 Truman Ave, Tallahassee, FL 32314-8602 | 2020-07-07 |
| 1013416783 | Theresa Marie Revell | Massage Therapist | 6539 Man O War Trl, Tallahassee, FL 32309-1615 | 2018-02-07 |
| 1508240094 | Greg B White | Massage Therapist | 3735 Ravine Dr, Tallahassee, FL 32312-1151 | 2015-07-14 |
| 1811378318 | Florence Harmony | Massage Therapist | 726 W 10th Ave, Tallahassee, FL 32303-5305 | 2015-06-11 |
| 1962835843 | Axios Health Spa, LLC | Massage Therapist | 1122 Thomasville Rd Ste 3, Tallahassee, FL 32303-8702 | 2013-08-15 |
| 1063752665 | Regan Jager | Massage Therapist | 1460 Grape St, Tallahassee, FL 32303-5636 | 2013-02-20 |
| 1942540455 | Chantelle Yandow | Massage Therapist | 728 N Gadsden St, Tallahassee, FL 32303-6275 | 2013-02-20 |
| 1952676876 | Lindsay Kraft | Massage Therapist | 1820 Riggins Rd, Suite 1, Tallahassee, FL 32308-7834 | 2012-03-09 |
| 1285908491 | Benjamin Beldock | Massage Therapist | 203 Oakland Ave, Tallahassee, FL 32301-4441 | 2012-03-06 |
| 1801164751 | Ryan W Jones | Massage Therapist | 3808 Stewar Way, Tallahassee, FL 32303 | 2011-12-07 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MS. LISA MICHELLE 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.