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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
0001116283 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
101 ELM AVE SE CARILION ROANOKE COMMUNITY - NICU, 6TH AND 9TH FLOOR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| 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 |
| Find all providers in ROANOKE | ||||
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| 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.