DR. NANCY KAE RUSSELL (NPI# 1790875425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790875425 |
| Entity Type | Individual |
| Full Name | DR. NANCY KAE RUSSELL |
| Other Name | DR. NANCY K. RUSSELL |
| Credential | M.D. |
| Practice Address |
5140 Ne Antioch Rd Nurturing Optimal Wellness Kansas City MO 64119-2523 |
| Practice Telephone | 8164535545 |
| Practice Fax Number | 8002612718 |
| Mailing Telephone | 8164535545 |
| Mailing Fax Number | 8002612718 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36094 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NON-PROVIDER # BCBS | 12799020 | 01 |
| KS | NON-PROVIDER # BCBS KS | 68517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306024963 | Nancy Lynn Russell | Registered Nurse | 6 Fern Rd, Calverton, NY 11933-2617 | 2008-02-06 |
| 1598887853 | Nancy Deacon Russell | Physical Therapist | 1030 S Arroyo Pkwy, Suite #109, Pasadena, CA 91105-3214 | 2007-04-05 |
| 1003942962 | Nancy Rae Russell | Social Worker | 6737 1st Ave S, St Petersburg, FL 33707-1307 | 2007-02-26 |
| 1356393938 | Nancy Russell | Social Worker | 500 Central Avenue, Clearview Center, Albany, NY 12208-1708 | 2006-05-16 |
| 1871856609 | Nancy Russell | Specialist | 590 Fishers Station Dr, Victor, NY 14564-9744 | 2012-06-18 |
| 1558639831 | Nancy Ellen Russell | Registered Nurse | 2600 Victory Pkwy, Cincinnati, OH 45206-1711 | 2011-12-01 |
| 1750683769 | Nancy Jo Russell | Rehabilitation Counselor | 415 Us Highway 95a S, Ste I 901, Fernley, NV 89408-9261 | 2010-11-23 |
| 1164640173 | Nancy Ann Russell | Physician Assistant | 50 Route 25a, Smithtown, NY 11787 | 2007-04-23 |
| 1073672804 | Nancy Russell | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3125 | 2006-12-07 |
| 1760580278 | Nancy P Russell | Physician Assistant | 440 E Central St, Franklin, MA 02038-1374 | 2006-09-20 |
| Street Address |
5140 NE ANTIOCH RD NURTURING OPTIMAL WELLNESS |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295704518 | Independent Orthopaedics and Sports Medicine of Kansas P A | Orthopaedic Surgery | 5140 Ne Antioch Rd, Suite B, Kansas City, MO 64119-2523 | 2006-03-17 |
| 1316450703 | Deborah Lynn Rodman | Nurse Practitioner | 5140 Ne Antioch Rd, Kansas City, MO 64119-2502 | 2017-11-08 |
| 1326404484 | Ronda Sanders | Nurse Practitioner | 5140 Ne Antioch Rd, Suite B, Kansas City, MO 64119-2502 | 2016-01-05 |
| 1396933602 | Kelly Steven Baker | Chiropractor | 5140 Ne Antioch Rd, Suite A, Kansas City, MO 64119-2502 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1548795990 | Karajo Sprigg | Internal Medicine | 4330 Wornall Rd Ste 65, Kansas City, MO 64111-3201 | 2017-04-24 |
| 1396195194 | Brandon Carlisle | Internal Medicine | 4000 Cambridge St # Ms 1020, Kansas City, KS 66160 | 2016-06-13 |
| 1174972368 | Michael Joseph Freitag | Internal Medicine | 3901 Rainbow Blvd, Ms 2027, Kumc Imresidency Program, Kansas City, KS 66160-0001 | 2016-06-08 |
| 1609224880 | Sara Ann Stewart | Internal Medicine | Kumc Imresidency Program, 3901 Rainbow Blvd, Ms 2027, Kansas City, KS 66160-0001 | 2016-05-29 |
| 1730537994 | Gregg Werner | Internal Medicine | Kumc Imresidency Program 3901 Rainbow Blvd Ms 2027, Kansas City, KS 66160-0001 | 2016-05-28 |
| 1730534520 | Larry Mathias IIi | Internal Medicine | 7602 Pennsylvania Ave, Kansas City, MO 64114-1736 | 2016-04-28 |
| 1679927305 | Sobrina Sarah Mohammed | Internal Medicine | 3130 Mersington Ave, Kansas City, MO 64128 | 2016-04-19 |
| 1316300601 | Waled Bahaj | Internal Medicine | 3120 Mersington Ave, Kansas City, MO 64128 | 2016-04-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
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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.