MRS. TERESA MARIE RUSSELL (NPI# 1124312053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124312053 |
| Entity Type | Individual |
| Full Name | MRS. TERESA MARIE RUSSELL |
| Credential | MS, FNP |
| Practice Address |
130 E 77th St Black Hall, 8th Floor New York NY 10075-1851 |
| Practice Telephone | 2124346400 |
| Practice Fax Number | 2124342279 |
| Mailing Telephone | 7186377339 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F336636-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00333100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538314083 | Teresa Ann Russell | Physical Therapist | 792 W Pine Ford Rd, Boyertown, PA 19512-7502 | 2008-11-25 |
| 1780847616 | Teresa Marie Antonette Russell | Social Worker | 29 417 E Hyw 212, Busby, MT 59016-0201 | 2008-07-10 |
| 1134171945 | Teresa Marie Russell | Counselor | 10292 Chestnut Park Ln, Columbia, MD 21044-4951 | 2006-05-17 |
| 1700137122 | Teresa Payton Russell | Counselor | 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 | 2012-09-25 |
| 1871874255 | Teresa A Russell | Pharmacist | 1950 Wales Rd Ne, Massillon, OH 44646-4110 | 2011-08-30 |
| 1770639346 | Teresa M Russell | Nurse Practitioner | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2007-01-26 |
| Street Address |
130 E 77TH ST BLACK HALL, 8TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828805 | Srino Bharam | Orthopaedic Surgery | 130 E 77th St, Black Hall 8th Floor, New York, NY 10075-1851 | 2005-08-11 |
| 1881212850 | Stephanie Ortiz | Nurse Practitioner | 130 E 77th St, 4th Floor Black Hall, New York, NY 10075 | 2020-07-07 |
| 1841828860 | Jacqueline Duarte Ramos | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2020-03-27 |
| 1558998088 | Katherine Carsky | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2020-03-25 |
| 1558907998 | Benjamin Wai Yue Lo | Neurological Surgery | 130 E 77th St, New York, NY 10075-1851 | 2019-11-20 |
| 1437708302 | Katherine Postel | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2019-09-04 |
| 1447802533 | Deepak Khatri | Neurological Surgery | 130 E 77th St, 3 Black Hall, New York, NY 10075-1851 | 2019-07-10 |
| 1881155133 | Jermyn Addy | Student in an Organized Health Care Education/Training Program | 130 E 77th St, New York, NY 10075-1851 | 2019-03-28 |
| 1326510884 | Catherine Melissa Claro | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2018-12-21 |
| 1104306844 | Alexandra Cayla Nussbaum | Nurse Practitioner | 130 E 77th St, New York, NY 10075-1851 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
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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.