RUSSELL PARKER (NPI# 1871077966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871077966 |
| Entity Type | Individual |
| Full Name | RUSSELL PARKER |
| Practice Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 8005115446 |
| Mailing Telephone | 8005115446 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407061252 | Russell C. Parker | Dentist | 1226 Jackson Ave, Pascagoula, MS 39567-4348 | 2007-05-14 |
| 1023167947 | Russell Alan Parker | Family Medicine | 64-1032 Mamalahoa Hwy Ste 306, Kamuela, HI 96743-8441 | 2007-01-09 |
| 1811963457 | Russell Kenneth Parker | Radiology | 1613 Bayita Ln Nw, Albuquerque, NM 87107-3320 | 2006-02-24 |
| 1376799643 | Russell Parker | Physical Therapist | 2305 San Luis Pl, Green Bay, WI 54304-5211 | 2008-08-18 |
| 1205844420 | Russell Bruce Parker | Specialist | 1407 N Porter Ave, Norman, OK 73071-6659 | 2006-08-03 |
| Street Address |
711 BARNES AVE |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945254 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2005-10-06 |
| 1205446010 | Briana Christina Lynn | Social Worker | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-08-06 |
| 1841811254 | Brianne Dickinson | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1306467717 | Angelique Chavez | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-04-27 |
| 1295366177 | Southeast Mental Health Services | Clinic/Center | 711 Barnes Ave, La Junta, CO 81050-2138 | 2020-01-30 |
| 1477195170 | Jonathon Michael Melendez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-10-14 |
| 1245880848 | Martin Valdez | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-09-16 |
| 1528611712 | Shana Se'rae Santistevan | Registered Nurse | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-07-17 |
| 1538624523 | Richard Keck | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-02-05 |
| 1396218475 | Austin Coy | Case Manager/Care Coordinator | 711 Barnes Ave, La Junta, CO 81050-2138 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| 1245585439 | Melanie Erin Martinez | Counselor | 201 Colorado Ave, La Junta, CO 81050-1592 | 2012-07-13 |
| 1073815726 | Terrie Leonard | Counselor | 711 Barnes, La Junta, CO 81050 | 2010-12-01 |
| 1952884843 | Pauletta Hickman | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-09-07 |
| 1114400017 | Carmalita Baca | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-09-07 |
| 1871099622 | Amber Sue Nelson | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-04-02 |
| 1669978417 | Dustin Hayden Shedrick | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2018-04-02 |
| 1407377583 | Jennifer Nicole Mcdonald | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2017-06-29 |
| 1467973545 | Tami Lynn Stephenson | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2017-06-29 |
| 1912427261 | Steven Sanchez | Counselor | 711 Barnes Ave, La Junta, CO 81050-2138 | 2017-06-27 |
| Find all providers in LA JUNTA | ||||
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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.