JESSICA RUSSELL (NPI# 1043693872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043693872 |
| Entity Type | Individual |
| Full Name | JESSICA RUSSELL |
| Practice Address |
302 Sadie Douglas Cir Shreveport LA 71106-7689 |
| Practice Telephone | 3184653743 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTT.Z11253 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1396192258 | Jessica Russell | Licensed Practical Nurse | 7712 Lake Ridge Dr, Waterford, MI 48327-4164 | 2016-05-20 |
| 1407120967 | Jessica Jean Russell | Massage Therapist | 219 S 4th St E, Missoula, MT 59801-2725 | 2012-03-01 |
| 1619103603 | Jessica Rylant Russell | Occupational Therapist | 4450 Landward Dr, Millbrook, AL 36054-2206 | 2009-06-03 |
| 1184776692 | Jessica Nicole Jack Russell | Social Worker | 425 Niles Cortland Rd Se, Warren, OH 44484-2478 | 2007-01-17 |
| 1174121602 | Jessica Russell | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-16 |
| 1164049516 | Jessica Marie Russell | Physical Therapist | 2502 S Nc Highway 119, Mebane, NC 27302-9565 | 2020-07-01 |
| 1710521778 | Jessica Russell | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-11-03 |
| 1821632100 | Jessica Russell | Student in an Organized Health Care Education/Training Program | 311 Whittington Ave, Hot Springs, AR 71901-3407 | 2019-10-30 |
| 1427605401 | Jessica Russell | Behavioral Analyst | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2019-08-23 |
| Street Address |
302 SADIE DOUGLAS CIR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214837 | Angela Impson | Occupational Therapist | 8039 Line Ave Ste 1b, Shreveport, LA 71106-5145 | 2020-10-30 |
| 1386270155 | Enrico Masangkay Roque Jr. | Occupational Therapist | 103 Pantheon Ln, Shreveport, LA 71115-4506 | 2020-03-12 |
| 1821540154 | Stephanie Jennings | Occupational Therapist | 1003 Osprey Dr, Shreveport, LA 71106-8352 | 2016-11-03 |
| 1033591771 | Amanda Benson | Occupational Therapist | 4509 Clingman Dr, Shreveport, LA 71105-3211 | 2015-06-18 |
| 1083018766 | Wendy Chandler | Occupational Therapist | 1030 Rochel Dr, Shreveport, LA 71115-3889 | 2014-10-09 |
| 1477996338 | Leslie G Mulford | Occupational Therapist | 612 Picketts Mill Dr, Shreveport, LA 71115-3862 | 2013-04-10 |
| 1942544424 | Anna Giannobile | Occupational Therapist | 9099 Cottage Ridge Drive, Shreveport, LA 71106 | 2012-11-21 |
| 1093086167 | Jacalyn Nierman | Occupational Therapist | 246 Winterwood Dr, Shreveport, LA 71106-7647 | 2012-01-22 |
| 1689988693 | Lisa Davison | Occupational Therapist | 1513 Westbury Dr, Shreveport, LA 71105-5031 | 2010-08-02 |
| 1649402397 | Tricia Ann Atkisson | Occupational Therapist | 228 Preston Ave, Shreveport, LA 71105-3308 | 2009-08-13 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.