MRS. MANDY R RUSSELL (NPI# 1235400532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235400532 |
| Entity Type | Individual |
| Full Name | MRS. MANDY R RUSSELL |
| Credential | MSN, APRN, NP-C |
| Practice Address |
726 E Main St Adamsville TN 38310-2458 |
| Mailing Address |
Po Box 655 Savannah TN 38372-0655 |
| Practice Telephone | 7319252300 |
| Practice Fax Number | 7319253506 |
| Mailing Telephone | 7319252300 |
| Mailing Fax Number | 7319253506 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16444 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316084965 | Mandy R Russell | Optometrist | 650 Linden St, Suite 5, Big Rapids, MI 49307-1879 | 2007-01-31 |
| Street Address |
726 E MAIN ST |
| City | ADAMSVILLE |
| State | TN |
| Zip Code | 38310-2458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902850480 | Family Healthcare Associates | Family Medicine | 726 E Main St, Adamsville, TN 38310 | 2006-05-20 |
| 1508292319 | Hardin County Regional Health Center | Clinic/Center | 726 E Main St, Adamsville, TN 38310-2458 | 2013-09-25 |
| 1598007064 | Glenn P Halke | Pediatrics | 726 E Main St, Adamsville, TN 38310-2458 | 2013-03-22 |
| 1699977975 | Adamsville Family Pharmacy | Pharmacy | 726 E Main St, Adamsville, TN 38310-2458 | 2007-05-31 |
| 1992713366 | Valerie Ann Alexander X | Pharmacist | 726 E Main St, Adamsville, TN 38310-2458 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598018608 | Heath Anthony Robertson | Dentist | 720 East Main St, Adamsville, TN 38310 | 2012-10-26 |
| 1841423779 | Heather Cooper | Pharmacist | 712 East Main Street, Adamsville, TN 38310 | 2009-08-26 |
| 1043331382 | James Harvey Durham | Durable Medical Equipment & Medical Supplies | 106 Ash Street, Suite II, Adamsville, TN 38310 | 2007-04-03 |
| 1225528482 | Kelli Allen | Physical Medicine & Rehabilitation | 400 Park Ave, Adamsville, TN 38310 | 2018-05-14 |
| 1063839926 | Home Therapy, Inc | Durable Medical Equipment & Medical Supplies | 717 Main St, Adamsville, TN 38310 | 2014-03-27 |
| 1992076095 | Harvey Durham Health Inc | Durable Medical Equipment & Medical Supplies | 106 Ash Street, Suite II, Adamsville, TN 38310 | 2012-01-20 |
| 1699072058 | H&m Apothecary LLC | Pharmacy | 712 E Main St, Adamsville, TN 38310 | 2011-02-22 |
| 1538370408 | Harvey Durham Health | Durable Medical Equipment & Medical Supplies | 106 Ash Street, Ste II, Adamsville, TN 38310 | 2007-05-24 |
| 1962541789 | David A Bradley | Dentist | 349 East Main Street, Adamsville, TN 38310-0260 | 2007-02-06 |
| 1992888226 | Juan Tan Aristorenas Jr. | Specialist | 135 West Main Street, Adamsville, TN 38310-0311 | 2006-10-23 |
| Find all providers in zip 38310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396229860 | Bradleigh Turnipseed | Nurse Practitioner | 3915 Veterans Memorial Dr, Adamsville, AL 35005-2260 | 2018-09-20 |
| 1780052589 | Adam Waters | Nurse Practitioner | 3915 Veterans Memorial Dr, Adamsville, AL 35005-2260 | 2015-09-10 |
| 1255768263 | Amie Roland | Nurse Practitioner | 335 Us Highway 64, Adamsville, TN 38310-4078 | 2013-10-04 |
| 1104168889 | Anna Carroll | Nurse Practitioner | 409 Park Ave, Adamsville, TN 38310-2461 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | ADAMSVILLE |
| Zip Code | 38310 |
Please comment or provide details below to improve the information on MRS. MANDY R 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.