JUSTIN JAKE RUSSELL (NPI# 1003092594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003092594 |
| Entity Type | Individual |
| Full Name | JUSTIN JAKE RUSSELL |
| Credential | L.M.P. |
| Practice Address |
22470 Humphrey Dr Leavenworth WA 98826-9240 |
| Mailing Address |
Po Box 475 Leavenworth WA 98826-0475 |
| Practice Telephone | 2533897510 |
| Mailing Telephone | 2533897510 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00024875 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539416 | Justin Lee Russell | Physician Assistant | 11505 Rangeland Pkwy, Bradenton, FL 34211-4041 | 2019-07-12 |
| 1841420304 | Justin Russell | Counselor | 6147 Sutter Ave, Carmichael, CA 95608-2738 | 2009-07-19 |
| Street Address |
22470 HUMPHREY DR |
| City | LEAVENWORTH |
| State | WA |
| Zip Code | 98826-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164053062 | Upper Valley Cares | Clinic/Center | 225 Prospect Street, Leavenworth, WA 98826 | 2020-01-29 |
| 1942855648 | Gayle Bean Holeton | Dance Therapist | 7098 Icicle Rd., Leavenworth, WA 98826 | 2019-08-08 |
| 1104394824 | Lydia Alice Zajackowski | Chiropractor | 1500 Alpensee Strasse, Leavenworth, WA 98826 | 2018-11-12 |
| 1154766293 | Karly Dawn Swanson | Massage Therapist | 505 Hwy 2 Ste. 100, Leavenworth, WA 98826 | 2013-05-02 |
| 1295905917 | Lynnel Kaye Miller | Massage Therapist | 505 Us Highway 2, Leavenworth, WA 98826 | 2008-03-10 |
| 1457569956 | Mary Jo Digesu Bartholomew | Massage Therapist | 9349 E Leavenworth Rd, Leavenworth, WA 98826 | 2007-05-18 |
| 1609945609 | Lynn A. Chadd | Nurse Practitioner | 283 Us Highway 2, Space C, Leavenworth, WA 98826 | 2006-11-06 |
| 1629163761 | Cascade School District | Local Education Agency (LEA) | 330 Evans Street, Leavenworth, WA 98826 | 2006-10-04 |
| 1033288436 | Thomas A Stanton | Chiropractor | 1500 Alpensee St, Leavenworth, WA 98826-0426 | 2006-11-07 |
| 1770037756 | Diana Runions | Specialist/Technologist | 424 Ski Hill Dr, Leavenworth, WA 98826-1037 | 2016-08-08 |
| Find all providers in zip 98826 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114343803 | Raeann Taylor | Specialist | 4100 S 4th St, Leavenworth, KS 66048-5082 | 2014-03-05 |
| 1578763967 | Annie Elizabeth Tiedeman | Specialist | 11779 Highway 2, Suite 104, Leavenworth, WA 98826-1362 | 2007-07-23 |
| 1215986369 | David Michael Ashburn | Specialist | 2205 South 4th Street, Leavenworth, KS 66048-4508 | 2006-05-08 |
| 1811946114 | Joe Earl Hurd | Specialist | 2205 S 4th St, Leavenworth, KS 66048-4508 | 2006-05-06 |
| 1225153794 | Joann Cecile Zugel | Specialist | 321 9th St, Suite 201, Leavenworth, WA 98826-1464 | 2007-03-20 |
| 1235254798 | Annette Elisabeth Lorz | Specialist | 321 9th St, Suite 201, Leavenworth, WA 98826-1464 | 2007-03-20 |
| 1477622629 | Harlan Layne Sheppard | Specialist | 833 Front St, Suite 46, Leavenworth, WA 98826-1378 | 2006-11-06 |
| 1841241072 | Anesthesia Service, P A | Specialist | 2205 S 4th St, Leavenworth, KS 66048-4508 | 2006-05-12 |
| 1841249992 | Lee David Albee | Specialist | 2205 S 4th St, Leavenworth, KS 66048-4508 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1457918351 | Barbara Irene Syverson | Specialist | 418 Ne 4th Ave Ste 105, Camas, WA 98607-2158 | 2019-05-26 |
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 98826 |
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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.