JENNIFER RUSSELL (NPI# 1114347846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114347846 |
| Entity Type | Individual |
| Full Name | JENNIFER RUSSELL |
| Credential | PH.D. |
| Practice Address |
3341 Youree Dr Ste 20a Shreveport LA 71105-2149 |
| Practice Telephone | 3184252000 |
| Practice Fax Number | 3184242601 |
| Mailing Telephone | 3184252000 |
| Mailing Fax Number | 3184242601 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 35083 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1399 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6515 Kemp Blvd, Wichita Falls, TX 763085419 | 9406921220 | 9406895784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316348931 | Jennifer L Russell | Registered Nurse | 421 Yoctangee Pkwy, Chillicothe, OH 45601-1663 | 2014-09-15 |
| 1164850137 | Jennifer Russell | Veterinarian | 3501 Evergreen Way, Washougal, WA 98671-9142 | 2013-10-29 |
| 1497045033 | Jennifer Ann Russell | Counselor | 13 Barclay St, #2, Worcester, MA 01604-4207 | 2011-04-17 |
| 1497065577 | Jennifer Russell | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-07 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1265552160 | Jennifer Ann Russell | Dentist | 13752 Lakeridge Dr, Fishers, IN 46037-7608 | 2007-04-02 |
| 1205986858 | Jennifer S Russell | Obstetrics & Gynecology | 13005 Us Highway 301 S, Riverview, FL 33578-7439 | 2007-01-12 |
| 1134276173 | Jennifer M Russell | Marriage & Family Therapist | 2249 Oak Glen Dr, Stillwater, MN 55082-9631 | 2007-01-04 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1881239457 | Jennifer L Russell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-11-07 |
| Street Address |
3341 YOUREE DR STE 20A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386612042 | Ronald A. Goebel | Clinical Neuropsychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
| 1154951986 | M. Todd Lobrano, Psychologist, L.L.C. | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1881224608 | Shelley Visconte, Psychologist, L.L.C. | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1316577141 | Jennifer L Russell, Psychologist, LLC | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1831739820 | Psychology Associates of N.w. Louisiana, L.L.C. | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-08 |
| 1942757430 | Keshia Ashley Jabbar | Counselor | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2016-09-01 |
| 1750761847 | Michael Todd Lobrano | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2015-06-03 |
| 1235303710 | Shelley R Visconte | Counselor | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2008-04-16 |
| 1477732188 | Ronald A Goebel & Mark P Vigen Ptr | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2007-10-30 |
| 1457329120 | Mark P. Vigen | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518267889 | Jeanne Street, Phd, Appc | Psychologist | 610 Herndon Ave., Shreveport, LA 71101 | 2010-11-02 |
| 1508055187 | Wendi Leigh Johnson Laborde | Psychologist | 2620 Centenary Blvd Ste 120, Shreveport, LA 71104-3349 | 2007-10-18 |
| 1548452832 | Gerald Kenneth Baker | Psychologist | 702 Kings Hwy, Shreveport, LA 71104-4332 | 2007-08-10 |
| 1033273107 | Jeanne Street | Psychologist | 610 Herndon Ave, Shreveport, LA 71101 | 2006-12-21 |
| 1700983251 | Milton Rhea | Psychologist | 510 E. Stoner Ave, Shreveport, LA 71101 | 2006-09-19 |
| 1730168139 | Alan Lee Rogers | Psychologist | 257 Atkins Ave, Shreveport, LA 71104-4537 | 2006-01-13 |
| 1316577141 | Jennifer L Russell, Psychologist, LLC | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2020-01-21 |
| 1215309620 | Sarah Watts Drummond | Psychologist | 707 Southfield Rd, Shreveport, LA 71106-2219 | 2015-10-24 |
| 1558789701 | Mark Garcia | Psychologist | 2620 Centenary Blvd, Bldg. #3, Suite 207, Shreveport, LA 71104-3356 | 2014-04-04 |
| 1972947034 | Steven D Abney | Psychologist | 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105-5740 | 2013-04-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on JENNIFER 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.