STEPHANIE RUSSELL (NPI# 1235199118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235199118 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUSSELL |
| Credential | P.A. |
| Practice Address |
8115 S Memorial Dr Tulsa OK 74133-4331 |
| Practice Telephone | 9182546315 |
| Practice Fax Number | 9184036315 |
| Mailing Telephone | 9182546315 |
| Mailing Fax Number | 9184036315 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
932 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100740390A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598370 | Stephanie Nicole Russell | Nurse Practitioner | 2977 Westinghouse Rd Ste 3, Horseheads, NY 14845-8120 | 2017-06-23 |
| 1376926493 | Stephanie Russell | Behavioral Analyst | 21505 N 78th Ave, 125, Peoria, AZ 85382-3356 | 2015-07-07 |
| 1235559303 | Stephanie Russell | Nurse Practitioner | 24831 Blane Dr, Katy, TX 77493-2712 | 2014-04-16 |
| 1982684726 | Stephanie M Russell | Pediatrics | 10639 Meeting Street, Suite 101, Louisville, KY 40059-7544 | 2006-01-18 |
| 1568070316 | Stephanie Michelle Russell | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2020-07-17 |
| 1396224333 | Stephanie Russell | Registered Nurse | 1200 Summit Ave Ste 880, Fort Worth, TX 76102-4429 | 2018-08-10 |
| 1154815652 | Stephanie Russell | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1417321860 | Stephanie Russell | Registered Nurse | 698 Howard St, Spartanburg, SC 29303-2964 | 2015-11-23 |
| 1033517644 | Stephanie Russell | Social Worker | 415 N Jackson St, Americus, GA 31709-3015 | 2014-12-12 |
| 1437553195 | Stephanie Russell | Massage Therapist | 6441 Sw Canyon Ct, Suite 102, Portland, OR 97221-1458 | 2014-10-09 |
| Street Address |
8115 S MEMORIAL DR |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639141724 | Rita Westenhaver | Family Medicine | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2006-02-03 |
| 1356994974 | Kelsey Donnette Kruckeberg | Nurse Practitioner | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2019-07-23 |
| 1346623980 | Paul-andrew Cromer | Nurse Practitioner | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2015-07-01 |
| 1184001133 | Adam Benjamin Greer | Family Medicine | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2015-04-29 |
| 1659714756 | Corey Bryant Bailey | Family Medicine | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2013-04-09 |
| 1396769493 | Teresa Kline | Nurse Practitioner | 8115 S Memorial Dr, Tulsa, OK 74133-4331 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1790155562 | Caldwell Medical Group of North Tulsa LLC | Physician Assistant | 8014 S 101st East Ave, Tulsa, OK 74133-4579 | 2015-10-05 |
| 1609298330 | Marci Love Deck | Physician Assistant | 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 | 2014-01-15 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1184959389 | Erin Nicole Jones | Physician Assistant | 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 | 2009-10-06 |
| 1194901793 | Annamae Kay | Physician Assistant | 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 | 2008-01-14 |
| 1265632129 | Oklahoma Occupational Health Center | Physician Assistant | 5640 S Memorial Dr, Tulsa, OK 74145-9001 | 2007-07-19 |
| 1962535831 | Njanja Margaret Ruenji | Physician Assistant | Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 | 2007-03-13 |
| 1740355460 | Jeri Clark Goen | Physician Assistant | 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 | 2006-11-21 |
| 1790879237 | Steven Paul Henry | Physician Assistant | 10506 South Memorial Drive, Tulsa, OK 74133 | 2006-10-02 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on STEPHANIE 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.