MR. RUSSEL ALDEN LEE (NPI# 1457607905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457607905 |
| Entity Type | Individual |
| Full Name | MR. RUSSEL ALDEN LEE |
| Credential | A.P.R.N. |
| Practice Address |
1240 E 100 S Ste 14 St George UT 84790-3005 |
| Practice Telephone | 4356288232 |
| Practice Fax Number | 4356747994 |
| Mailing Telephone | 4356288232 |
| Mailing Fax Number | 4356747994 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4937627-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462672 | Russel Anton Lee | Pharmacist | 11350 Wickersham Blvd, Gretna, NE 68028-6979 | 2017-12-11 |
| Street Address |
1240 E 100 S STE 14 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369341 | Kelly Dean Beaumont | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2006-09-21 |
| 1578763702 | Jerry D Twiggs Md PC | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2007-07-25 |
| 1295855914 | Night Light Pediatrics LLC | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2007-03-29 |
| 1902905714 | Karl T Mcmullin | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1417402389 | Heather Crockett Oram | Nurse Practitioner | 41 E 1140 N, Suite B, Saratoga Springs, UT 84045-5459 | 2016-08-22 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1992171185 | Angela Curtis Page | Nurse Practitioner | 484 E 1250 S, Kaysville, UT 84037-4005 | 2015-08-11 |
| 1982025961 | Teresa Steele | Nurse Practitioner | 5063 S Cottonwood St Ste, 160, Murray, UT 84107 | 2013-12-18 |
| 1447505904 | Natalie Tollison | Nurse Practitioner | 1055 N 300 W Ste 300, Provo, UT 84604-3373 | 2012-07-19 |
| 1578820858 | Helen Kathleen Aoki | Nurse Practitioner | 9071 S 1300 W Fl 3, West Jordan, UT 84088-6672 | 2012-04-11 |
| 1356676035 | Cherie Marie Farnes | Nurse Practitioner | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2009-10-13 |
| 1558505529 | Melissa Ann Neville-norton | Nurse Practitioner | 3875 Stadium Way # 3903 Weber State University, Ogden, UT 84408 | 2009-04-22 |
| 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.