MS. SHERRY A RUSSELL (NPI# 1104887140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104887140 |
| Entity Type | Individual |
| Full Name | MS. SHERRY A RUSSELL |
| Other Name | SHERRY A SEEGER |
| Credential | MSN APRN BC |
| Practice Address |
1322 N River Rd St Clair MI 48079 |
| Practice Telephone | 8103294798 |
| Practice Fax Number | 8103297303 |
| Mailing Telephone | 8103294798 |
| Mailing Fax Number | 8103297303 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0812X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Community |
4704167606 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 740113 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1093081176 | Sherry Russell | Licensed Practical Nurse | 103 Delaware Ave, Troy, NY 12180-5403 | 2012-03-22 |
| 1497033112 | Sherry Lynn Russell | Nurse Practitioner | 100 State Route 325 South, Rio Grande, OH 45674-0318 | 2011-07-29 |
| 1093215402 | Sherry Russell | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2018-02-13 |
| 1306963988 | Sherry Ann Russell | Counselor | 115 E Fesler St, Santa Maria, CA 93454-4404 | 2007-03-26 |
| Street Address |
1322 N RIVER RD |
| City | ST CLAIR |
| State | MI |
| Zip Code | 48079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481701 | William Dale Whiting Sr. | Social Worker | 1322 N River Rd, St Clair, MI 48079 | 2006-03-22 |
| 1336106129 | Noelle Kathryn Cotter | Social Worker | 1322 N River Rd, Norserv Group, St Clair, MI 48079 | 2006-04-27 |
| 1790747194 | Mary Ann Hilda Stirling-doherty | Psychologist | 1322 N River Rd, Norserv Group Ltd, St Clair, MI 48079 | 2006-04-03 |
| 1588625222 | Adele Marie Beischer | Social Worker | 1322 N River Rd, Norserv Group Ltd, St Clair, MI 48079 | 2006-03-31 |
| 1548221500 | Robert D Perrin | Social Worker | 1322 N River Rd, Norserv Group, St Clair, MI 48079 | 2006-03-30 |
| 1457312415 | Cynthia Deborah Wilcome | Social Worker | 1322 N River Rd, Norserv Group Ltd, St Clair, MI 48060 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
| 1467832568 | Hailey Davis | Speech-Language Pathologist | 5228 Davis Rd, Saint Clair, MI 48079 | 2015-06-03 |
| 1912202144 | Nancy Susan Harrar | Pharmacist | 1167 S. Carney, St. Clair, MI 48079 | 2011-01-19 |
| 1811136393 | Thompson & Schroyer Dds PC | Dentist | 201 N. Riverside, Suite E2a, St. Clair, MI 48079 | 2009-02-06 |
| 1467620831 | Gary D Schroyer | Dentist | 201 N Riverside, Suite E2a, St Clair, MI 48079 | 2008-02-19 |
| 1902941537 | Carol Allen | Optometrist | 201 North Riverside Ave, E9, St Clair, MI 48079 | 2007-02-21 |
| 1730264995 | St Clair Eye Pllc | Optometrist | 1921 Fred Moore Hwy, St Clair, MI 48079 | 2006-10-26 |
| 1700970381 | Carol Jean Kesterke | Counselor | 132 Trumbull, St. Clair, MI 48079 | 2006-10-03 |
| 1629088679 | Nancy H Marshall | Psychiatry & Neurology | 132 Trumbull Street, St Clair, MI 48079 | 2006-08-09 |
| 1568423689 | Robert Reisig Dds PC | Dentist | 1820 Sinclair St, Suite B, St Clair, MI 48079 | 2006-03-29 |
| Find all providers in zip 48079 | ||||
| Taxonomy Code | 364SP0812X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Community |
| Definition to come... |
Please comment or provide details below to improve the information on MS. SHERRY A 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.