BYRON RUSSELL (NPI# 1205222825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205222825 |
| Entity Type | Individual |
| Full Name | BYRON RUSSELL |
| Practice Address |
713 Ronie St Hattiesburg MS 39401-4345 |
| Practice Telephone | 6015839401 |
| Mailing Telephone | 6015839401 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114350576 | Byron Edward Russell | Physical Therapist | 310 North Riverpoint Blvd, Box V, Spokane, WA 99202-1675 | 2013-08-20 |
| 1881810455 | Byron James Russell | Acupuncturist | 2211 Post St Ste 204, San Francisco, CA 94115-3467 | 2007-04-18 |
| 1043215809 | Byron Dale Russell | Urology | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2005-06-17 |
| Street Address |
713 RONIE ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922494541 | Tradition Home Care LLC | In Home Supportive Care | 713 Ronie St, Suite C, Hattiesburg, MS 39401-4345 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047650 | Tracy Harvey | Technician | 1118 W Pine St, Hattiesburg, MS 39401-5087 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754779 | Trusted Healthcare Services LLC | Technician | 199 Charmant Pl Ste 3a, Ridgeland, MS 39157-4358 | 2020-09-12 |
| 1023629227 | Andrelena Harris | Technician | 121 Tillis Dr, Pinola, MS 39149-3165 | 2020-08-11 |
| 1467078956 | Workforce & Economic Strategies | Technician | 512 N Thayer Ave, Aberdeen, MS 39730-2314 | 2020-06-19 |
| 1760022842 | Yolanda Y Cartlidge | Technician | 500 Edgewood Ln, Brandon, MS 39042-3300 | 2020-01-07 |
| 1811534472 | Lawrence Self | Technician | 19150 Highway 61 N, Lyon, MS 38645-9779 | 2019-12-03 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1275181901 | Brenda Joyce Nicholson | Technician | 1677 Camp Eight Rd, Richton, MS 39476-8932 | 2019-08-27 |
| 1467006106 | Shenelle Savage | Technician | 131 Creekview Ln, Fayette, MS 39069-4596 | 2019-07-31 |
| 1811453483 | D'andrea Y Swims | Technician | 509 Turtle Ln, Brandon, MS 39047-5088 | 2019-02-19 |
| 1851874994 | P-cares Medical Supplies, LLC | Technician | 3476 River Rd, Fayette, MS 39069-4602 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.