MS. KATHLEEN A RUSSELL (NPI# 1275631863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275631863 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN A RUSSELL |
| Other Name | MS. KATHLEEN A MCCLAIN |
| Credential | NP |
| Practice Address |
110 Oak St Anaconda MT 59711-2335 |
| Mailing Address |
706 Locust St Anaconda MT 59711-2931 |
| Practice Telephone | 4065630071 |
| Practice Fax Number | 4065630774 |
| Mailing Telephone | 4065607410 |
| Mailing Fax Number | 4064966035 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN019215 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000370310 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 445 Centennial Ave, Butte, MT 597012870 | 4067234075 | 4067233059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1023375276 | Kathleen Anne Russell | Nurse Practitioner | 6400 Saint Johns Ave, Palatka, FL 32177-6817 | 2012-04-12 |
| 1477873925 | Kathleen Russell | Social Worker | 27 Bailey Ct, Middle Island, NY 11953-1321 | 2010-06-08 |
| 1225368137 | Kathleen Colucci Russell | Registered Nurse | 18918 Colahan Dr, Rocky River, OH 44116-2801 | 2009-12-29 |
| 1952956773 | Kathleen Joan Russell | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-08-08 |
| 1174044572 | Kathleen L Russell | Pharmacist | Po Box Ph, Chinle, AZ 86503-8000 | 2017-07-06 |
| 1699295378 | Kathleen Flynn Russell | Dental Hygienist | 70 Main St, Danbury, CT 06810-7832 | 2017-06-22 |
| 1023044849 | Kathleen P Russell | Nurse Practitioner | 2300 N Childrens Plz, Box 50, Chicago, IL 60614-3363 | 2006-06-23 |
| 1316929425 | Kathleen Smith Russell | Pharmacist | 17350 St Lukes Way, Suite 150, The Woodlands, TX 77384-4100 | 2005-11-15 |
| Street Address |
110 OAK ST |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225502073 | Butte Silver Bow Primary Health Care Clinic Inc | Clinic/Center | 110 Oak St, Anaconda, MT 59711-2335 | 2019-01-15 |
| 1871042150 | Emily Rice | Social Worker | 110 Oak St, Anaconda, MT 59711-2335 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
| Find all providers in zip 59711 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323103 | Cyril J Schaefer | Nurse Practitioner | 401 W Pennsylvania St, Anaconda, MT 59711-1931 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801370 | Brittany Carnahan | Nurse Practitioner | 5635 Rainbow Dr, Helena, MT 59602-9574 | 2020-08-10 |
| 1871132712 | Taylor Erin Hatcher | Nurse Practitioner | 1033 N 31st St, Billings, MT 59101-0748 | 2019-12-24 |
| 1639654304 | Christine Marie Fanelli | Nurse Practitioner | 28 Coyote Trl, Ennis, MT 59729-9187 | 2018-09-28 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1790236958 | Stanley Brammeier | Nurse Practitioner | 1203 15th St., Fort Benton, MT 59442 | 2016-10-21 |
| 1427418128 | Ami Shetler | Nurse Practitioner | 2085 1/2 Watts Ln, Bozeman, MT 59718-1410 | 2016-02-24 |
| 1659741106 | Lauren Marie Mckay | Nurse Practitioner | 1011 Wilder Ave, Helena, MT 59601-2538 | 2015-09-28 |
| 1285002923 | Rejuvecare Clinic | Nurse Practitioner | 77 3rd Avenue West N, Kalispell, MT 59901-4049 | 2015-09-11 |
| 1083015242 | Arlon Harris Bennett | Nurse Practitioner | 2230 27th Ave Ste 3, Missoula, MT 59804-5128 | 2014-09-08 |
| 1821407347 | Gina Cotton Hansen | Nurse Practitioner | 401 15th Ave S Ste 205, Great Falls, MT 59405-4334 | 2014-08-08 |
| Find all providers with the same taxonomy | ||||
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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.