JESSIE LEE RUSSELL (NPI# 1972104735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972104735 |
| Entity Type | Individual |
| Full Name | JESSIE LEE RUSSELL |
| Other Name | JESSIE LEE SCHROPPEL |
| Practice Address |
550 S Alaska St Ste 202 Palmer AK 99645-6372 |
| Practice Telephone | 9077466019 |
| Practice Fax Number | 9077457565 |
| Mailing Telephone | 9077466019 |
| Mailing Fax Number | 9077457565 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1811042872 | 05 |
| Street Address |
550 S ALASKA ST STE 202 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497912 | Christian E Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-04 |
| 1952902728 | Polly-beth Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-06 |
| 1124629985 | Emma Louise Dahms | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497912 | Christian E Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-04 |
| 1699321836 | Ronald Norbert Meier | Counselor | 720 E Evergreen Ave, Palmer, AK 99645-6660 | 2019-08-13 |
| 1518212950 | Lauren Berberich | Counselor | 247 S Alaska St, Palmer, AK 99645-6335 | 2012-07-23 |
| 1376825133 | Daniel G Davis | Counselor | 634 S Bailey St Ste 104, Palmer, AK 99645-6360 | 2011-09-16 |
| 1144545989 | Nancy Ann Sellers | Counselor | 11921 E Palmer Wasilla Hwy, Palmer, AK 99645-8833 | 2010-04-05 |
| 1891945267 | Margaret Anne Warrington | Counselor | 44 Squier St, Palmer, MA 01069-1334 | 2008-09-23 |
| 1881715407 | Dorotha Jane Littlteon | Counselor | 9061 E Frontage Rd Ste 202, Palmer, AK 99645-9317 | 2007-04-02 |
| 1952902728 | Polly-beth Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-06 |
| 1124629985 | Emma Louise Dahms | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-06 |
| 1316545726 | Naidene Baechler | Counselor | 780 S Snodgrass Dr, Palmer, AK 99645-9149 | 2020-10-16 |
| Find all providers in PALMER | ||||
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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.