LORI RUSSELL (NPI# 1891798377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891798377 |
| Entity Type | Individual |
| Full Name | LORI RUSSELL |
| Other Name | LORI NEAL |
| Credential | P.A. |
| Practice Address |
100 Hunters Ln Suite 100 Tullahoma TN 37388-8263 |
| Practice Telephone | 9314554616 |
| Practice Fax Number | 9314552362 |
| Mailing Telephone | 9314554616 |
| Mailing Fax Number | 9314552362 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1198 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372760 | Lori Ann Russell | Physical Therapy Assistant | 2077 S Independence Blvd, Virginia Beach, VA 23453-4780 | 2017-01-09 |
| 1629512835 | Lori Younger Russell | Specialist | 610 Montgomery St, Alexandria, VA 22314-1522 | 2016-12-06 |
| 1215309232 | Lori Russell | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2015-10-29 |
| 1255741724 | Lori Rene Russell | Occupational Therapist | 3446 Browns Valley Rd, Vacaville, CA 95688-9339 | 2014-05-05 |
| 1265870901 | Lori Ann Russell | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-06-04 |
| 1730429580 | Lori Jean Russell | Nurse Practitioner | 11161 Washington Blvd, Whittier, CA 90606-3007 | 2013-02-14 |
| 1538331780 | Lori Russell | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2008-03-27 |
| 1508071499 | Lori Anne Russell | Developmental Therapist | 103 Johnson St, Lynn, MA 01902-4001 | 2007-05-14 |
| 1407877111 | Lori Russell | Nurse Anesthetist, Certified Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-07-21 |
| Street Address |
100 HUNTERS LN SUITE 100 |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-8263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316480213 | Amg - Southern Tennessee, LLC | Nurse Practitioner | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2016-11-24 |
| 1831449990 | Katie Goodman Hill | Nurse Practitioner | 100 Hunters Ln, Tullahoma, TN 37388-8263 | 2012-09-17 |
| 1477857308 | Katherine A Grandelski | Physical Therapist | 100 Hunters Ln, Ste 200, Tullahoma, TN 37388-8263 | 2011-01-07 |
| 1285943605 | John Glen Carson | Nurse Practitioner | 100 Hunters Ln, Tullahoma, TN 37388-8263 | 2010-10-04 |
| 1538396510 | Kathryn M Kovanen | Physical Therapist | 100 Hunters Ln, Ste 200, Tullahoma, TN 37388-8263 | 2009-06-17 |
| 1881852671 | Mindy D Holloway | Nurse Practitioner | 100 Hunters Ln, Ste 100, Tullahoma, TN 37388-8263 | 2008-05-28 |
| 1659343762 | Kim W Stockton | Nurse Practitioner | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679738272 | Michael Frederick Johnson | Physician Assistant | 1802 N Jackson St, Tullahoma, TN 37388-8218 | 2008-07-23 |
| 1407824295 | Aubrey Martin Cawthon Jr. | Physician Assistant | 507 Nw Atlantic St, Tullahoma, TN 37388-3504 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.