KRISTY ANN RUSSELL (NPI# 1114243946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114243946 |
| Entity Type | Individual |
| Full Name | KRISTY ANN RUSSELL |
| Credential | B.S. |
| Practice Address |
428 S Mustang Rd Yukon OK 73099-6754 |
| Practice Telephone | 4055775477 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023286481 | Kristy Russell | Counselor | 2239 S Caraway Rd, Suite M, Jonesboro, AR 72401-6204 | 2008-02-19 |
| Street Address |
428 S MUSTANG RD |
| City | YUKON |
| State | OK |
| Zip Code | 73099-6754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065006 | Richard Frederick Zielinski | Specialist | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2006-06-27 |
| 1316509300 | Tracy Dawn Starks | Counselor | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-07-01 |
| 1326509308 | Kelsey Croy | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-03-30 |
| 1740744945 | Nelson S Bundrick | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6946 | 2019-01-22 |
| 1033615653 | Mary Newman | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2018-04-03 |
| 1295233674 | Daniel Patrick Mesa | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2018-01-31 |
| 1538675095 | Lucy Ellen Garth | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2017-12-20 |
| 1487198990 | Amanda Kay Thorpe | Case Manager/Care Coordinator | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-12-19 |
| 1477001758 | Amanda Hayes | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-09-15 |
| 1427401009 | Lauren Goodwin | Registered Nurse | 428 S Mustang Rd, Yukon, OK 73099-6754 | 2016-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829278 | Tracy Nanette Mckeown | Counselor | 1777 S Yukon Pkwy, Yukon, OK 73099-4599 | 2020-07-23 |
| 1720641327 | Ascend Counseling and Consultation Services, Pllc | Counselor | 508 W Vandament Ave Ste 204, Yukon, OK 73099-4666 | 2019-04-18 |
| 1356863070 | Zachary Tedder | Counselor | 300 S Ranchwood Blvd Ste 11, Yukon, OK 73099-2745 | 2017-07-13 |
| 1003368614 | Olanrewaju Akande | Counselor | 9005 Nw 84th St, Yukon, OK 73099-8678 | 2016-10-30 |
| 1336502251 | Synergy Behavior Health Care, Inc. | Counselor | 10720 Nw 31st Ter, Yukon, OK 73099-3377 | 2016-03-29 |
| 1679939227 | Amanda Lynn Fenno | Counselor | 214 Yukon Ave, Yukon, OK 73099-4535 | 2016-01-13 |
| 1548680275 | Debra Vanwieren | Counselor | 11213 Nw 6th Ter, Yukon, OK 73099-7694 | 2014-04-21 |
| 1497178156 | Complete Rehab, LLC | Counselor | 1824 Commons Circle, Suite B, Yukon, OK 73099-9527 | 2014-01-30 |
| 1982039871 | Alexander Corneluis Miles | Counselor | 10616 Sw 21st St, Yukon, OK 73099-7572 | 2013-09-10 |
| 1407194798 | Cathy Michelle Latta | Counselor | 520 Pointe Parkway Blvd, Yukon, OK 73099-0600 | 2013-01-22 |
| Find all providers in YUKON | ||||
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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.