ELYSE RUSSELL (NPI# 1174762371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174762371 |
| Entity Type | Individual |
| Full Name | ELYSE RUSSELL |
| Practice Address |
3099 28th St Se Grand Rapids MI 49512-1667 |
| Mailing Address |
1802 Galloway St Eau Claire WI 54703-3467 |
| Practice Telephone | 6169773668 |
| Mailing Telephone | 7158318966 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3501004797 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
3099 28TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083777809 | Michael K Hosford | Optometrist | 3099 28th St Se, Grand Rapids, MI 49512-1667 | 2006-12-19 |
| 1801953880 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3099 28th St Se, Woodland Mall, Grand Rapids, MI 49512-1667 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033746383 | Jennifer Tellefson | Hearing Instrument Specialist | 504 Nw 1st Ave Ste 290, Grand Rapids, MN 55744-2668 | 2020-03-26 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1841519154 | Rick Edward Dymond | Hearing Instrument Specialist | 3665 28th St Se, Suite 6d, Grand Rapids, MI 49512-1684 | 2010-05-26 |
| 1821249558 | Benjamin Norris | Hearing Instrument Specialist | 1000 3 Mile Rd Nw, Grand Rapids, MI 49544-1650 | 2008-09-30 |
| 1619143518 | Ruhling Enterprises Inc | Hearing Instrument Specialist | 4598 Plainfield Ne, Grand Rapids, MI 49525 | 2008-05-01 |
| 1447371166 | Curtis Wayne Larson | Hearing Instrument Specialist | 1275 S Pokegama Ave, Grand Rapids, MN 55744-4208 | 2007-04-02 |
| 1215087762 | Regina Jo Vanderklok | Hearing Instrument Specialist | 4598 Plainfield Ave Ne, Grand Rapids, MI 49525-1645 | 2007-01-10 |
| 1316004880 | Tabita Jackson | Hearing Instrument Specialist | 224 Fulton St E, Grand Rapids, MI 49503-3211 | 2007-01-03 |
| 1245277839 | Mcdonald Hearing Aid, Inc. | Hearing Instrument Specialist | 330 Fuller Ave Ne, Grand Rapids, MI 49503-3631 | 2006-06-01 |
| 1306849997 | Therese L Wolf | Hearing Instrument Specialist | 734 Alger St Se, Ste 200, Grand Rapids, MI 49507-3593 | 2005-05-27 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on ELYSE 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.