MRS. DONNA REVES RUSSELL


Address: 101 Elm Ave Se, Carilion Roanoke Community - Nicu, 6th and 9th Floor, Roanoke, VA 24013-2222
Phone: 5409858051

MRS. DONNA REVES RUSSELL (NPI# 1780808907) 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) 1780808907
Entity Type Individual
Full Name MRS. DONNA REVES RUSSELL
Credential NNP
Practice Address 101 Elm Ave Se
Carilion Roanoke Community - Nicu, 6th and 9th Floor
Roanoke
VA 24013-2222
Mailing Address 1701 Blair Rd Sw
Roanoke
VA 24015-3605
Practice Telephone 5409858051
Practice Fax Number 5409858005
Mailing Telephone 5403427942
Enumeration Date 2007-04-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
0001116283 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NONE NONE 01

Other Providers DONNA RUSSELL

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1043638703 Donna J Russell Social Worker 3200 E Eisenhower Pkwy, Ann Arbor, MI 48108-3231 2014-03-31
1114191665 Donna L Russell Physical Therapy Assistant 4560 Se International Way Suite 100, Consonus Rehab Services, Milwaukie, OR 97222 2008-04-16
1689672347 Donna L Russell Nurse Anesthetist, Certified Registered 55 Lake Ave N, Department of Anesthesiology, Worcester, MA 01655-0002 2005-07-07

Office Location

Street Address 101 ELM AVE SE
CARILION ROANOKE COMMUNITY - NICU, 6TH AND 9TH FLOOR
City ROANOKE
State VA
Zip Code 24013-2222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295734226 Forrest Lee Tucker Pathology 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 2005-07-20
1215549969 Andrew Valente Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-08-22
1063039733 Kaleb Wesley Lambert Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-06-29
1275150948 Andrew Lee Judy Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-06-29
1306463906 Christopher J Pucci Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-06-29
1639705213 Kate Yates Physical Medicine & Rehabilitation 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-03-16
1528694262 Emily Guill Physical Medicine & Rehabilitation 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-03-13
1649806399 Megan Silber Physical Medicine & Rehabilitation 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-03-13
1053972190 Maria Iftikhar Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2019-06-27
1841858883 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 101 Elm Ave Se, Roanoke, VA 24013-2222 2019-06-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114091485 Amy Barker Registered Nurse 102 Highland Ave Se Ste 203, Roanoke, VA 24013 2006-11-20
1992888432 Valley Home Health Care LLC Durable Medical Equipment & Medical Supplies 1212 Campbell Ave Se, Roanoke, VA 24013 2006-10-20
1245325786 Travis Pg Barham Dentist 101 Elm Ave, Roanoke, VA 24013 2006-10-03
1629455936 Mebratu Daba Pediatrics 102 Highland Ave Se Ste 104, Roanoke, VA 24013 2015-05-06
1720475296 Hussein Elmufti Pediatrics 102 Highland Ave Se Ste 455, Roanoke, VA 24013 2015-04-22
1861467847 Kilian H. Brech II Pediatrics 21 Highland Ave Se Ste 100, Roanoke, VA 24013 2006-02-22
1114545928 Raven Matthews Emergency Medicine 213 18th St Se, Roanoke, VA 24013-1311 2020-07-08
1356557102 Sandra Elaine Sayre Nurse Practitioner 402 4th St Se, Roanoke, VA 24013-1404 2007-05-15
1982041000 Family Preservation Services, Inc. Community/Behavioral Health 825 Stewart Ave Se, Roanoke, VA 24013-1443 2013-05-30
1922552512 Kuumba Community Health & Wellness, Inc. Clinic/Center 321 Tazewell Ave Se, Roanoke, VA 24013-1445 2016-08-11
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619924974 Cheryl Viar Allison Nurse Practitioner 101 Elm Ave., Roanoke, VA 24012 2006-05-30
1720046246 Diane Sue Goode Nurse Practitioner 7195 Scarlet Oak Dr, Roanoke, VA 24019-2133 2006-05-03
1588142715 Karen Parks Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-07-31
1205380805 Ashley Nicole Whitlow Nurse Practitioner 1906 Belleview Ave Se, 14 South, Roanoke, VA 24014-1838 2016-08-11
1730500927 Anthesnia E. Wiley Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2013-12-15
1104105337 Christin Cooper Chaney Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2011-08-05
1780887315 Beverly Williams Joachim Nurse Practitioner 1328 2nd St Sw, Roanoke, VA 24016-4923 2007-06-10
1417914698 Katrina Jill Howbert Nurse Practitioner 101 Elm Ave Se, Roanoke, VA 24013-2222 2006-04-29
1649237413 Nancy A. Ward Nurse Practitioner 101 Elm Ave Se, Roanoke, VA 24013-2222 2006-04-27
1871557058 Jackie Bratton Martin Nurse Practitioner 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2006-04-14
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Competitor

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City ROANOKE
Zip Code 24013

Improve Information

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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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