RUSSELL CLAY LIGHTFOOT (NPI# 1134502024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134502024 |
| Entity Type | Individual |
| Full Name | RUSSELL CLAY LIGHTFOOT |
| Credential | NURSE PRACTITIONER |
| Practice Address |
555 S 18th St Columbus OH 43205-2654 |
| Practice Telephone | 6147224384 |
| Practice Fax Number | 6147224380 |
| Mailing Telephone | 6147224384 |
| Mailing Fax Number | 6147224380 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
COA17440NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 S 18TH ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620361 | Michael Thomas Brady | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-06-22 |
| 1750916540 | Ayse Bulan | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2020-03-11 |
| 1457869919 | Kelly A Brake | Social Worker | 555 S 18th St, Columbus, OH 43205-2654 | 2018-01-18 |
| 1154662930 | Stephanie Bailey Monnin | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2654 | 2013-03-04 |
| 1043588494 | Samiah Al-zaidy | Psychiatry & Neurology | 555 S 18th St, Columbus, OH 43205-2654 | 2011-12-13 |
| 1821384025 | Amanda Lynn Way | Ophthalmology | 555 S 18th St, Suite D, Columbus, OH 43205-2654 | 2011-06-26 |
| 1548569809 | Hillary Jayne Bashaw | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2011-03-24 |
| 1386947190 | Milo D Hilty | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-12-16 |
| 1023339769 | William Matthew Smiley | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-06-17 |
| 1194049924 | Maclain Jean Magee | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1083224315 | Lalanna Renee Shawgo | Nurse Practitioner | 2108 Thistlewood Dr, Columbus, OH 43235-4274 | 2020-08-02 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1437636115 | Elliot Rodriguez | Nurse Practitioner | 376 W.10th Avenue, 760 Prior Hall, Columbus, OH 43210-1238 | 2018-07-25 |
| 1962926279 | Melanie Coyne | Nurse Practitioner | 101 13th St Ste 200, Columbus, GA 31901-2183 | 2017-07-28 |
| 1750811568 | Julie M. Bess | Nurse Practitioner | 452 W. 10th Avenue, Columbus, OH 43210-1240 | 2017-06-14 |
| 1447669338 | Rachel Elizabeth Rose | Nurse Practitioner | 300 W.10th Ave., Columbus, OH 43210 | 2014-08-05 |
| 1497167449 | Michele L. Lozano | Nurse Practitioner | 460 W 10th Ave # C1021, Columbus, OH 43210-1240 | 2014-05-27 |
| 1538570429 | Nicole A. Allen-payne | Nurse Practitioner | 460 W 10th Ave Fl 11, Columbus, OH 43210-1240 | 2014-05-13 |
| 1497733109 | Stephen Kirk Douglas | Nurse Practitioner | 2675 Foxpointe Drive, Suite B, Columbus, IN 47203 | 2006-01-03 |
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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.