JESSICA CHRISTINA RUSSO


Address: 1100 Walnut St, Philadelphia, PA 19107-5563
Phone: 2159559939

JESSICA CHRISTINA RUSSO (NPI# 1760968150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760968150
Entity Type Individual
Full Name JESSICA CHRISTINA RUSSO
Credential MS
Practice Address 1100 Walnut St
Philadelphia
PA 19107-5563
Practice Telephone 2159559939
Practice Fax Number 2159558604
Mailing Telephone 2159559939
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS Other Service Providers

Other Providers JESSICA RUSSO

NPI Name Taxonomy Address Enumeration
1124683040 Jessica Marie Russo Social Worker 24 Elizabeth Ct Fl 1b-2, Plainville, CT 06062-2755 2019-05-06
1598285595 Jessica Russo Behavior Technician 8672 Cycladic Ct, Elk Grove, CA 95624 2017-06-21
1891035333 Jessica Russo Social Worker 425 Sherman Ct, Hood River, OR 97031-1054 2013-02-20
1073009973 Jessica Colleen Russo Chore Provider 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 2018-07-03
1912285073 Jessica L Russo Social Worker 5707 N 22nd St, Tampa, FL 33610-4350 2011-07-23
1952613903 Jessica Russo Counselor 282 W Bowery St, Akron, OH 44307-2598 2010-07-07
1659401990 Jessica Dean Russo Psychologist 230 S. Broad St., Ste 600, Phila, PA 19102-4121 2007-03-06

Office Location

Street Address 1100 WALNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193182 Michael D Stillman Internal Medicine 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 2005-09-02
1326481565 Jonathan Pan Internal Medicine 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 2013-04-08
1891030961 Lori Pellegrino Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2012-11-30
1013281633 Catherine Gill-preston Nurse Practitioner 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 2012-02-29
1316225857 Shawnna Cannaday Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-08-02
1003104274 Anirudh Kohli Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-07-21
1730486366 Michael Pucci Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-02-17
1801102223 Matthew William Laporta Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2010-08-23
1437393634 Anne L. Rosenberg, M.d. Specialist 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 2009-05-01
1720226210 Gurjyot Bajwa Thoracic Surgery (Cardiothoracic Vascular Surgery) 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2009-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340941 Amanda Back Genetic Counselor, MS 1100 Walnut St Ste 602, Philadelphia, PA 19107-5563 2020-09-10
1154817534 Natalie Burrill Genetic Counselor, MS 3401 Civic Center Blvd # 6w59, Philadelphia, PA 19104-4319 2018-07-09
1679065643 Elyse Nicole Ryan Genetic Counselor, MS Genetic Diagnostic Laboratory, 3620 Hamilton Walk, Anatomy & Chemistry Bldg, Rm 415, Philadelphia, PA 19104 2018-06-05
1275023640 Nicolette Sookar Genetic Counselor, MS 3930 Chestnut St Fl 3, Philadelphia, PA 19104-3111 2018-05-11
1295187920 Cara Cacioppo Genetic Counselor, MS 3930 Chestnut St, Floor 3, Philadelphia, PA 19104-3111 2016-07-06
1174879571 Claire Alexis Clark Genetic Counselor, MS 1 S Penn Sq Ste 960, Philadelphia, PA 19107 2012-08-03
1811135114 Van Thanh Fadulu Genetic Counselor, MS 833 Chestnut East, Suite 1250, Philadelphia, PA 19107-4419 2009-01-26
1053573014 Jacquelyn Powers Genetic Counselor, MS 523 Pine St 1st Flr, Philadelphia, PA 19106-4102 2008-06-30
1760515423 Carrie D. Mckenna Genetic Counselor, MS Genzyme Genetics, 833 Chestnut Street, Suite 1250, Philadelphia, PA 19107 2007-03-13
1083742787 Matthew Clark Basham Genetic Counselor, MS 833 Chestnut St # 1035, Philadelphia, PA 19107-4414 2007-03-02
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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