HOLLY RUSSELL (NPI# 1285918052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285918052 |
| Entity Type | Individual |
| Full Name | HOLLY RUSSELL |
| Credential | MS, OTR |
| Practice Address |
10320 N New Jersey St Indianapolis IN 46280-1360 |
| Practice Telephone | 3174135778 |
| Mailing Telephone | 3174135778 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 06720 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
31003599A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692512 | Holly Russell | Pharmacist | 961 Threewood Cir, Bowling Green, KY 42103-2480 | 2015-02-19 |
| 1548860158 | Holly Russell | Pharmacist | 407 N State St, Desloge, MO 63601-3053 | 2020-11-01 |
| 1083233258 | Holly Russell | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-08 |
| 1518442862 | Holly Ann Russell | Dietitian, Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2018-10-02 |
| 1104338623 | Holly L Russell | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2017-10-25 |
| 1215319488 | Holly Russell | Licensed Practical Nurse | 11009 Louis Dr Se, Huntsville, AL 35803-1007 | 2015-06-24 |
| 1174727267 | Holly Russell | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60487-7722 | 2007-06-12 |
| 1689673410 | Holly Roxanne Russell | Physical Therapist | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2005-07-14 |
| Street Address |
10320 N NEW JERSEY ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417088758 | Lisa Shepherd Pearcy | Occupational Therapist | 2902 W 86th St, Suite 160, Indianapolis, IN 46268-5900 | 2007-03-08 |
| 1144351107 | Stephanie Wood | Occupational Therapist | 2902 W 86th St, Suite 160, Indianapolis, IN 46268-5900 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114395902 | Siena Gwandure | Occupational Therapist | 7710 Jamestown North Dr, Fishers, IN 46038-1942 | 2015-09-10 |
| 1659686582 | April Lee Garringer | Occupational Therapist | 801 Macarthur Blvd, Suite 404, Munster, IN 46321-2915 | 2010-08-16 |
| City | INDIANAPOLIS |
| Zip Code | 46280 |
Please comment or provide details below to improve the information on HOLLY 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.