PAMELA RUSSELL (NPI# 1952929945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952929945 |
| Entity Type | Individual |
| Full Name | PAMELA RUSSELL |
| Credential | TH. D. |
| Practice Address |
752 Blanding Blvd Ste 131 Orange Park FL 32065-5796 |
| Practice Telephone | 9048300737 |
| Practice Fax Number | 9042726037 |
| Mailing Telephone | 9048300737 |
| Mailing Fax Number | 9042726037 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972905081 | Pamela Russell | Student in an Organized Health Care Education/Training Program | 754 Deodara Dr, Altadena, CA 91001-2310 | 2014-09-19 |
| 1073778163 | Pamela June Russell | Intermediate Care Facility, Mentally Retarded | 256 Oertli Ln, Hamilton, MT 59840-9330 | 2008-07-28 |
| 1831193812 | Pamela Anne Russell | Social Worker | 3435 Pine Mill Rd, Paris, TX 75460-4938 | 2005-06-08 |
| 1700208154 | Pamela Russell | Behavioral Analyst | 625 Fair Oaks Ave Ste 200, South Pasadena, CA 91030-2694 | 2014-01-19 |
| 1760750517 | Pamela Gerard Russell | Occupational Therapist | 11720 Partridge Rd, Holland, NY 14080-9800 | 2011-12-08 |
| 1396036687 | Pamela Russell | Physical Therapist | 1 Nardone Pl, Jersey City, NJ 07306-3514 | 2011-04-21 |
| 1083892632 | Pamela Jean Russell | Dietitian, Registered | 6065 Helen Ave, Berkeley, MO 63134-2013 | 2008-02-06 |
| 1639296205 | Pamela Russell | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2007-03-26 |
| 1568544930 | Pamela Russell | Speech-Language Pathologist | 2203 Babcock Rd, San Antonio, TX 78229-4412 | 2006-10-19 |
| 1306882048 | Pamela Russell | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Neonatology, Philadelphia, PA 19104-4319 | 2006-06-21 |
| Street Address |
752 BLANDING BLVD STE 131 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353951 | Dr. Pam Russell, LLC. | Counselor | 752 Blanding Blvd Ste 131, Orange Park, FL 32065-5796 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395039 | Gail James | Counselor | 793 Blanding Blvd Ste E, Orange Park, FL 32065-5792 | 2017-06-08 |
| 1295353951 | Dr. Pam Russell, LLC. | Counselor | 752 Blanding Blvd Ste 131, Orange Park, FL 32065-5796 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355044 | Trinity Therapeutic Wellness Center LLC | Counselor | 4960 Nw 16th St, Lauderhill, FL 33313-5526 | 2020-10-30 |
| 1821600081 | Dilcia Martinez | Counselor | 5951 Nw 173rd Dr Unit 3b, Hialeah, FL 33015-5126 | 2020-08-19 |
| 1780294587 | Melanie Howton Gruner | Counselor | 1403 Oakfield Drive, Brandon, FL 33511-5871 | 2020-08-06 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1205452380 | Community Family Counseling Inc | Counselor | 29144 Chapel Park Dr, Wesley Chapel, FL 33543-4404 | 2020-06-24 |
| 1851910236 | Oletha G Wellon-dames | Counselor | 139 Bob Thomas Cir, Sanford, FL 32771-3096 | 2020-04-15 |
| 1962034827 | Yender Dom | Counselor | 12555 Orange Dr Ste 210, Davie, FL 33330-4304 | 2020-02-09 |
| 1366089641 | Prophetic Healing Deliverance Ministry of Mysteries, Inc | Counselor | 8550-2 Lone Star Road, Jacksonville, FL 32211 | 2019-12-05 |
| 1154979482 | Cynthia D Holcomb | Counselor | 18115 Palm Beach Dr, Tampa, FL 33647-4048 | 2019-08-29 |
| 1174170997 | Vivian Bell | Counselor | 2110 N Hercules Ave, Clearwater, FL 33763-2319 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
Please comment or provide details below to improve the information on PAMELA 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.