COLLEEN HENDERSON RUSSELL (NPI# 1427282003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427282003 |
| Entity Type | Individual |
| Full Name | COLLEEN HENDERSON RUSSELL |
| Other Name | COLLEEN RUSSELL |
| Credential | RD |
| Practice Address |
1238 Huffman Mill Rd Burlington NC 27215-8700 |
| Practice Telephone | 3365388173 |
| Practice Fax Number | 3365388033 |
| Mailing Telephone | 3365388173 |
| Mailing Fax Number | 3365388033 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L000737 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396052916 | Colleen Russell | Marriage & Family Therapist | 508 San Anselmo Ave, Suite 1b, San Anselmo, CA 94960-2632 | 2010-09-02 |
| 1083941991 | Colleen Russell | Registered Nurse | 5775 Wayzata Blvd, Suite 200, St Louis Park, MN 55416-1222 | 2009-11-13 |
| 1922173574 | Colleen Russell | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2006-11-21 |
| Street Address |
1238 HUFFMAN MILL RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826328 | Ronald Kenneth Smith | Physician Assistant | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2006-06-08 |
| 1932669678 | Pamela Jacobs Brugger | Pharmacist | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-03-20 |
| 1063977106 | Katherine D'jernes Mcmanama | Nurse Practitioner | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-02-03 |
| 1619223252 | Julie Scarlett Robertson | Dietitian, Registered | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2012-08-01 |
| 1467742528 | Nathan Scott Belue | Pharmacist | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2011-04-11 |
| 1356575948 | Pamela Otte Ingram | Dietitian, Registered | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2009-05-11 |
| 1295934974 | Shaeequa Parveen Dasnadi | Pediatrics | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2007-07-13 |
| 1235353764 | Alamance Regional Hospital | Community/Behavioral Health | 1238 Huffman Mill Rd, Burlington, NC 27215-8700 | 2007-04-13 |
| 1306997218 | Tina Hackney | Nurse Practitioner | 1238 Huffman Mill Rd, Room 127, Burlington, NC 27215-8700 | 2007-01-16 |
| 1902984271 | Kathy Clayton | Social Worker | 1238 Huffman Mill Rd, Burlington, NC 27215 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1861001968 | Melissa Gallagher | Dietitian, Registered | 20 Vaughn Way, Burlington, NJ 08016-3441 | 2020-07-24 |
| 1982228193 | Suzanne Mae Bowser | Dietitian, Registered | 973 Lane 38, Burlington, WY 82411-9700 | 2020-06-03 |
| 1205469772 | Hope Carter Seggelink | Dietitian, Registered | 163 Bayberry Cir Unit 204, Burlington, VT 05401-5510 | 2020-02-12 |
| 1366080160 | Jessica L Pashko | Dietitian, Registered | 33 N Prospect St, Burlington, VT 05401-3339 | 2019-12-12 |
| 1831685494 | Allison E Filepp | Dietitian, Registered | 84 West Rd Apt B, Burlington, VT 05408-2401 | 2018-07-07 |
| 1427558444 | Lisa Balestrino | Dietitian, Registered | 1238 Grand Oaks Blvd, Burlington, NC 27215-8146 | 2018-02-16 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1184170904 | Amy Sercel | Dietitian, Registered | 193 Saint Paul St Unit 302, Burlington, VT 05401-5913 | 2016-08-31 |
| 1336584036 | Stephanie Leigh Crutchfield | Dietitian, Registered | 514 Fordham Ave, Burlington, NJ 08016-2314 | 2013-05-08 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.