MS. COMONIQUE RUSSELL (NPI# 1174121396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174121396 |
| Entity Type | Individual |
| Full Name | MS. COMONIQUE RUSSELL |
| Practice Address |
2151 E Southern Ave Apt 1082 Mesa AZ 85204-5358 |
| Practice Telephone | 3475818028 |
| Practice Fax Number | 4808924991 |
| Mailing Telephone | 3475818028 |
| Mailing Fax Number | 4808924991 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
2151 E SOUTHERN AVE APT 1082 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073162095 | Wicliff Berris Benjamin | Home Health Aide | 10427 E Idaho Cir, Mesa, AZ 85209-7715 | 2019-09-11 |
| 1275017881 | Dickson Nganga | Home Health Aide | 3031 N 64th St, Mesa, AZ 85215-0925 | 2018-09-19 |
| 1508364290 | Carmelita Walker | Home Health Aide | 225 N Pomeroy, Mesa, AZ 85201-6779 | 2018-01-27 |
| 1134469059 | Carmen L Blackshear | Home Health Aide | 2024 S Rowen, Mesa, AZ 85209-6209 | 2013-03-01 |
| 1538450846 | Leah M Carter | Home Health Aide | 1051 S Dobson Rd, Unit 18, Mesa, AZ 85202-3903 | 2011-04-21 |
| 1750807442 | Randy Jackson | Home Health Aide | 9837 E Natal Ave, Mesa, AZ 85209-2588 | 2017-08-15 |
| 1629349766 | Cara Louise Silva | Home Health Aide | 1015 S Val Vista Dr, 18, Mesa, AZ 85204-5670 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
| 1083211288 | Kindred Hearts Assisted Living LLC | Home Health Aide | 530 E Mariposa St Apt 26, Phoenix, AZ 85012-1636 | 2020-10-01 |
| 1518570506 | Ideal Care LLC | Home Health Aide | 4135 N 108th Ave Ste 102, Phoenix, AZ 85037-5462 | 2020-08-28 |
| 1518578566 | Lakeisha Elem | Home Health Aide | 855 N Dobson Rd Apt 1045, Chandler, AZ 85224-6904 | 2020-08-13 |
| 1821612375 | Annie Mayson | Home Health Aide | 8517 W Chickasaw St, Tolleson, AZ 85353-8939 | 2020-06-01 |
| 1427670207 | James Verdieu | Home Health Aide | 2785 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-4752 | 2020-05-14 |
| 1104452903 | People That Care, LLC. | Home Health Aide | 7034 W Peck Dr, Glendale, AZ 85303-4431 | 2020-03-13 |
| 1932734803 | Shane Amour Fulton | Home Health Aide | 2314 W Thomas Rd Apt 261, Phoenix, AZ 85015-5911 | 2020-03-11 |
| 1598397739 | Nasir Adam Ibrahim | Home Health Aide | 4009 S 12th Ave, Tucson, AZ 85714-1452 | 2020-02-05 |
| 1497386320 | Bachmeier Enterprises LLC | Home Health Aide | 14122 W Mcdowell Rd # 105, Goodyear, AZ 85395-2503 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
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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.