MRS. DESIREE DAWN RUSSELL (NPI# 1356742605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356742605 |
| Entity Type | Individual |
| Full Name | MRS. DESIREE DAWN RUSSELL |
| Practice Address |
9 Overlook Rd Quincy MA 02169-2315 |
| Mailing Address |
500 Victory Rd Quincy MA 02171-3139 |
| Practice Telephone | 6177701795 |
| Mailing Telephone | 6177452719 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 3476 | MA | Other Service Providers |
| Street Address |
9 OVERLOOK RD |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568951580 | Elizabeth Susan Brunton | Case Manager/Care Coordinator | 41187 Purdy Ln, Quincy, CA 95971-9193 | 2018-05-04 |
| 1740782168 | Luis Rubalcava-cunan | Case Manager/Care Coordinator | 270 County Hospital Rd., Suite 109, Quincy, CA 95971 | 2018-03-01 |
| 1154695336 | Michelle Grawe | Case Manager/Care Coordinator | 3621 Overlook Dr, Quincy, IL 62305-8193 | 2012-03-06 |
| 1346562790 | Rhonda Lynne Wayson | Case Manager/Care Coordinator | 6 Quincy Junction Rd, Quincy, CA 95971-9112 | 2010-02-25 |
| 1952568172 | Staci R Lapointe | Case Manager/Care Coordinator | 8-10 Hancock Court, Quincy, MA 02169 | 2008-05-16 |
| 1679750038 | Kara Lynn Hoener | Case Manager/Care Coordinator | 1229 1/2 Kentucky St, Quincy, IL 62301-4215 | 2008-01-29 |
| 1679698377 | Regional Office of Education | Case Manager/Care Coordinator | 510 Maine St, Suite 615, Quincy, IL 62301-3903 | 2007-03-20 |
| 1558978171 | Jessica R Mcgill | Case Manager/Care Coordinator | 270 County Hospital Rd Ste 109, Quincy, CA 95971-9173 | 2020-09-28 |
| 1679186126 | Posh Support Services | Case Manager/Care Coordinator | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2020-08-25 |
| 1972129930 | Tiffany Jones-burson | Case Manager/Care Coordinator | 270 County Hospital Rd Ste 109, Quincy, CA 95971-9173 | 2020-06-24 |
| Find all providers in QUINCY | ||||
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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.