MRS. AMY CHRISTINE RUSSELL (NPI# 1912526674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912526674 |
Entity Type | Individual |
Full Name | MRS. AMY CHRISTINE RUSSELL |
Credential | LPC |
Practice Address |
317 30th St Apt 304d Springfield OR 97478-7619 |
Practice Telephone | 8179399576 |
Mailing Telephone | 8179399576 |
Enumeration Date | 2020-04-13 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C5399 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104291459 | Amy Russell | Social Worker | 1911 E 22nd St, Cheyenne, WY 82001-4142 | 2015-12-10 |
1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
1821370263 | Amy M Russell | Pharmacist | 9101 Sun Isle Dr Ne, Saint Petersburg, FL 33702-2617 | 2011-09-12 |
1265634638 | Amy D Russell | Dentist | 1651 Mount Vernon Rd, Dunwoody, GA 30338-4264 | 2007-06-05 |
1184186397 | Amy Russell | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-04-05 |
1073000832 | Amy Russell | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-04-17 |
1013415314 | Amy Elizabeth Russell | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2018-02-01 |
1043733199 | Amy Jenniver Russell | Social Worker | 2950 Tennyson St, Denver, CO 80212-3029 | 2017-07-20 |
1508226291 | Amy Danielle Russell | Occupational Therapist | 123 Jefferson Davis Blvd, Natchez, MS 39120-5103 | 2016-02-24 |
1578986659 | Amy Russell | Nurse Practitioner | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2014-01-27 |
Street Address |
317 30TH ST APT 304D |
City | SPRINGFIELD |
State | OR |
Zip Code | 97478-7619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
Find all providers in zip 97478 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
1033766035 | Connected Counseling Services | Counselor | 1759 E Elm St, Springfield, MO 65802-3227 | 2019-08-23 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 97478 |
Please comment or provide details below to improve the information on MRS. AMY CHRISTINE RUSSELL.
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.