BRIDGET LYNN RUSSELL (NPI# 1467008342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467008342 |
Entity Type | Individual |
Full Name | BRIDGET LYNN RUSSELL |
Other Name | BRIDGET CONNOR |
Practice Address |
100 Michigan St Ne Ste 4297 Grand Rapids MI 49503-2560 |
Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6162677900 |
Enumeration Date | 2019-08-15 |
Last Update Date | 2020-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704211779 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457826919 | Bridget Kathleen Russell | Social Worker | 136 Melville Dr, Fullerton, CA 92835-3531 | 2018-10-10 |
1831587310 | Bridget Russell | Specialist/Technologist | 410 Nw Lawrence St, Hoxie, AR 72433-1124 | 2015-01-06 |
1992843320 | Bridget Anne Russell | Speech-Language Pathologist | W132 Thompson Hall, Suny Fredonia, Fredonia, NY 14063 | 2007-02-01 |
1104986207 | Bridget Rena Russell | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2006-12-11 |
Street Address |
100 MICHIGAN ST NE STE 4297 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-2560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700851995 | Lynette Kay Vanderscheer | Physician Assistant | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2006-02-21 |
1679191548 | Ana Tere Torres | Nurse Practitioner | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2020-07-08 |
1629589015 | Soheila Roossien | Nurse Practitioner | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2017-10-12 |
1528418761 | Amjad Abdallah | Psychiatry & Neurology | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2016-06-19 |
1952757817 | Jessica Lynn Feistel | Psychiatry & Neurology | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2016-05-10 |
1568776177 | Bashar Zleik | Psychiatry & Neurology | 100 Michigan St Ne Ste 4297, Grand Rapids, MI 49503-2560 | 2010-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
Find all providers in zip 49503 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
1609482330 | Amy Manderscheid | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-18 |
1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
1669098935 | Andrea Lynn Giffel | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2020-06-22 |
1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
1356971261 | Sarah Marie Nava | Nurse Practitioner | 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 | 2020-01-20 |
1790323970 | Joshua Dennis Witherspoon | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 | 2019-12-18 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49503 |
Please comment or provide details below to improve the information on BRIDGET LYNN 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.