LORA A RUSSELL (NPI# 1114571429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114571429 |
| Entity Type | Individual |
| Full Name | LORA A RUSSELL |
| Credential | APRN |
| Practice Address |
419 N Seminary St Madisonville KY 42431-1515 |
| Mailing Address |
36 Pemberton Cv Jackson TN 38305-5514 |
| Practice Telephone | 7313941145 |
| Practice Fax Number | 8443740233 |
| Mailing Telephone | 7313941145 |
| Mailing Fax Number | 8443740233 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012804 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
419 N SEMINARY ST |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528523 | Nhc Healthcare-madisonville LLC | Skilled Nursing Facility | 419 N Seminary St, Madisonville, KY 42431-1515 | 2006-06-17 |
| 1700369576 | Madisonville Health and Rehabilitation LLC | Respite Care | 419 N Seminary St, Madisonville, KY 42431-1515 | 2018-09-07 |
| 1073003323 | Jason Haley | Physical Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2018-05-12 |
| 1700381530 | Marlena Lynn Gerwe | Physical Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2018-03-25 |
| 1982123220 | Stephanie Danielle Pride | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-09-19 |
| 1598287526 | Casey Davis | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-07-11 |
| 1215461074 | Chasity Teague | Physical Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2017-04-18 |
| 1588114946 | Makenzie Mcenroe | Speech-Language Pathologist | 419 N Seminary St, Madisonville, KY 42431-1515 | 2016-10-10 |
| 1659821148 | Tamara Elaine Davis | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2016-10-07 |
| 1508018920 | Karina Alicia Martin | Occupational Therapy Assistant | 419 N Seminary St, Madisonville, KY 42431-1515 | 2008-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1588273098 | Tamara Lynn Zelch | Nurse Practitioner | 142 Pine Loop Dr, Madisonville, TN 37354-6813 | 2020-07-30 |
| 1730706748 | Renee Hurley Christman | Nurse Practitioner | 28628 Venette Ct, Madisonville, LA 70447-3220 | 2020-06-25 |
| 1992329973 | Allison Newton Ravassipour | Nurse Practitioner | 110 Woodthrush Dr, Madisonville, LA 70447-4004 | 2020-06-04 |
| 1376926428 | Nacole Diaz | Nurse Practitioner | 633 Piney Ridge Cir, Madisonville, LA 70447-3101 | 2015-07-08 |
| 1407239890 | Christine Marie Talley | Nurse Practitioner | 238 Red Fox Run Blvd, Madisonville, LA 70447-3116 | 2015-07-02 |
| 1326487554 | Kaleidoscope Family Health, Inc. | Nurse Practitioner | 4900 New Highway 68, Madisonville, TN 37354-2142 | 2013-06-20 |
| 1124385257 | Ardith Elaine O'rourke | Nurse Practitioner | 57 J.e. Ellis Road, Madisonville, KY 42431 | 2012-04-13 |
| 1679751002 | Kelle Dawn Harper | Nurse Practitioner | 220 W Trinity St, Madisonville, TX 77864-1914 | 2008-02-07 |
| 1356384788 | Sheila M Gaia | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354-3001 | 2006-06-14 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
Please comment or provide details below to improve the information on LORA 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.