KATIE SUE RUSSELL (NPI# 1144423658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144423658 |
| Entity Type | Individual |
| Full Name | KATIE SUE RUSSELL |
| Credential | CPNP |
| Practice Address |
1028 Country Ln Castroville TX 78009-5027 |
| Practice Telephone | (830) 355-2732 |
| Practice Fax Number | 8303552738 |
| Mailing Telephone | (830) 355-2732 |
| Mailing Fax Number | 8303552738 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
696187 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178705 | Katie Natale Russell | Social Worker | 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131-2343 | 2018-09-17 |
| 1710488390 | Katie Russell | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2018-02-28 |
| 1881903383 | Katie Marie Russell | Behavioral Analyst | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2010-09-30 |
| 1588683064 | Katie Russell | Optometrist | 295 Buck Rd, Suite 114, Holland, PA 18966-1733 | 2006-07-18 |
| Street Address |
1028 COUNTRY LN |
| City | CASTROVILLE |
| State | TX |
| Zip Code | 78009-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568901619 | Medina Valley Pediatrics, Pllc | Clinic/Center | 1028 Country Ln, Castroville, TX 78009-5027 | 2017-02-21 |
| 1093240269 | Joseph Rangel | Pediatrics | 1028 Country Ln, Castroville, TX 78009-5027 | 2017-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807615 | Rise Up Rehab, LLC | Clinic/Center | 1687 Old Hwy 90, Castroville, TX 78009 | 2019-08-22 |
| 1487156287 | Castroville Dental Pllc | Dentist | 703 Old Us Hwy 90 E, Suite 108, Castroville, TX 78009 | 2018-03-07 |
| 1033636337 | Karen Mccauley | Nurse Practitioner | 1501 Houston St Ste B, Castroville, TX 78009 | 2017-08-28 |
| 1891217832 | Adrienne Irene Villarreal | Nurse Practitioner | 1051 Old Us Hwy 90 East, Castroville, TX 78009 | 2017-07-12 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1952719023 | Rodolfo Yanez | Pharmacist | 1151 Us Highway 90 E, Castroville, TX 78009 | 2014-08-01 |
| 1700140969 | Christodoulos S Christodoulou | Allergy & Immunology | 1050 Highway 16 S., Bandera, TX 78009 | 2012-07-02 |
| 1366672818 | Aria Dayani | Internal Medicine | 1051 Highway 90 East, Castroville, TX 78009 | 2009-07-18 |
| 1932374576 | Cindy Marie Crews | Dentist | 1314 Constantinople Street, Castroville, TX 78009 | 2008-04-24 |
| 1497803183 | Frank Raymond Danna II | Dentist | 411 Madrid, Castroville, TX 78009 | 2007-01-08 |
| Find all providers in zip 78009 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | CASTROVILLE |
| Zip Code | 78009 |
Please comment or provide details below to improve the information on KATIE SUE 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.