TANYA RUSSELL (NPI# 1225452600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225452600 |
| Entity Type | Individual |
| Full Name | TANYA RUSSELL |
| Credential | FNP |
| Practice Address |
2424 50th St Ste 202 Lubbock TX 79412-2549 |
| Mailing Address |
2804 N Loop 289 Lubbock TX 79415-1410 |
| Practice Telephone | 8067760891 |
| Practice Fax Number | 8067760899 |
| Mailing Telephone | 8067447223 |
| Mailing Fax Number | 8067403325 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP122632 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
735250 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2424 50TH ST STE 202 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749178 | Priyamvada Khandheria | Psychiatry & Neurology | 2424 50th St, Suite 301, Lubbock, TX 79412-2549 | 2007-05-15 |
| 1710421953 | Usa Medical Pa | Pain Medicine | 2424 50th St, Suite 101, Lubbock, TX 79412-2549 | 2016-12-07 |
| 1407116304 | South Plains Rural Health Services, Inc | Clinic/Center | 2424 50th St, Suite 204, Lubbock, TX 79412-2549 | 2012-05-24 |
| 1164729984 | Betty Malisa Akin | Nurse Practitioner | 2424 50th St, Suite 202, Lubbock, TX 79412-2549 | 2011-02-14 |
| 1437489549 | Weldon L. Ash,m.d.p.a. | General Practice | 2424 50th St, Ste 203, Lubbock, TX 79412-2559 | 2010-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558720045 | Dawn Conwright | Nurse Practitioner | 6809 Slide Rd Ste J, Lubbock, TX 79424-1517 | 2016-02-12 |
| 1538133087 | Wailong Don Lam | Nurse Practitioner | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-02-13 |
| 1851935365 | Jasmine Sanchez-ximenez | Nurse Practitioner | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2019-10-29 |
| 1386108033 | Sara Victoria Chapa | Nurse Practitioner | 416 Frankford Ave, Lubbock, TX 79416-4162 | 2019-01-28 |
| 1902318736 | Olivia A Harris | Nurse Practitioner | 4102 24th St, Lubbock, TX 79410 | 2017-11-02 |
| 1366953374 | Justin Mark Hafner | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-10-17 |
| 1134671159 | Zakri Redding | Nurse Practitioner | 5022 Avenue Q, Lubbock, TX 79412 | 2016-10-25 |
| 1730540097 | Ashley Dometrius | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2016-03-15 |
| 1336511732 | Meghan Gwyneth Oldham | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415 | 2015-10-24 |
| 1912378118 | Clayton Womack | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2015-10-13 |
| Find all providers in LUBBOCK | ||||
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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.