MRS. KIM KOEHLER RUSSELL (NPI# 1184866899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184866899 |
Entity Type | Individual |
Full Name | MRS. KIM KOEHLER RUSSELL |
Credential | OTR/L |
Practice Address |
3666 Kearny Villa Rd Suite 308 San Diego CA 92123-1951 |
Mailing Address |
715 Colima Street La Jolla CA 92037 |
Practice Telephone | 8585055460 |
Mailing Telephone | 6198949398 |
Enumeration Date | 2009-03-26 |
Last Update Date | 2009-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
9543 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265664981 | Kim A Russell | Licensed Practical Nurse | 99 David Rhodes Road, Westbrookeville, NY 12785-0605 | 2009-08-13 |
1730733908 | Kim Marie Russell | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-07-26 |
1932617305 | Kim Russell | Pharmacist | 18785 Brookhurst St Ste 201, Fountain Valley, CA 92708-7300 | 2018-01-18 |
1528136900 | Kim L Russell | Dermatology | 2525 Cumberland Parkwa, Department of Dermatology, Atlanta, GA 30339 | 2006-12-01 |
1750366597 | Kim R Russell | Social Worker | 492 Route 57 W, Washington, NJ 07882-4338 | 2005-12-14 |
Street Address |
3666 KEARNY VILLA RD SUITE 308 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-1951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750420949 | Michael Thomas Ryder | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1949 | 2007-02-05 |
1457765026 | Stephanie Ada Iacobelli | Physical Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2014-06-11 |
1811319627 | Colleen Maher | Occupational Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2014-01-14 |
1326478314 | Brandon Kusakabe | Physical Therapist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2013-11-12 |
1457791451 | Olga Lyssanova | Specialist/Technologist | 3666 Kearny Villa Rd, Suite #225, San Diego, CA 92123-1951 | 2013-07-05 |
1598052771 | Michael Leverne Stewart | Physical Therapist | 3666 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1951 | 2011-07-07 |
1598083933 | Charles Joseph Marty | Physical Therapist | 3666 Kearny Villa Rd, 200, San Diego, CA 92123-1951 | 2010-05-10 |
1205151651 | Celia Bartman | Physical Therapy Assistant | 3666 Kearny Villa Rd, 225, San Diego, CA 92123-1951 | 2010-03-29 |
1962727321 | Fred Schmitz | Specialist | 3666 Kearny Villa Rd, San Diego, CA 92123-1951 | 2010-03-29 |
1881919215 | Anthony S Sanchez | Physical Therapist | 3666 Kearny Villa Rd, Suite 225, San Diego, CA 92123-1951 | 2010-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
Find all providers in zip 92123 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124267034 | Adrienne Ann Spelyng | Occupational Therapist | 200 West Arbor Dr. Ucsd Medical Center, Mail Drop 8775, San Diego, CA 92103 | 2009-02-17 |
1578776464 | Sandra Doehr | Occupational Therapist | 770 Washington St Ste 207, San Diego, CA 92103-2209 | 2007-05-07 |
1841415684 | Linda Mae | Occupational Therapist | 1234 Robinson Ave Apt 5, San Diego, CA 92103-4400 | 2007-04-16 |
1932128030 | Marci Yuri Ito | Occupational Therapist | 3515 Argonne St, San Diego, CA 92117-1009 | 2006-07-19 |
1225090483 | Leslie M Aoto | Occupational Therapist | 12250 El Camio Real St, Ste 190, San Diego, CA 92130 | 2006-04-04 |
1073584553 | Maureen H Harrington | Occupational Therapist | 34730 Bob Wilson Dr, San Diego, CA 92134-3098 | 2006-01-31 |
1851701650 | Joshua Kwon | Occupational Therapist | 9040 Friars Rd Ste 410, San Diego, CA 92108-5862 | 2014-05-01 |
1336445063 | Lisa Fern Harris | Occupational Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2011-01-27 |
1376867812 | Kathy T Sausser | Occupational Therapist | 16950 Via Tazon, San Diego, CA 92127-1607 | 2010-03-25 |
1265756019 | Michelle Miles-kessell | Occupational Therapist | 16899 W Bernardo Dr, San Diego, CA 92127-1603 | 2010-03-23 |
Find all providers in SAN DIEGO |
Please comment or provide details below to improve the information on MRS. KIM KOEHLER 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.