JENNIFER RUSSELL (NPI# 1497065577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497065577 |
| Entity Type | Individual |
| Full Name | JENNIFER RUSSELL |
| Credential | COTA |
| Practice Address |
6804 Sanger Ave #227 Waco TX 76710-4257 |
| Practice Telephone | 8003404098 |
| Mailing Telephone | 8003404098 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 403816 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 207164901 | 05 | |
| TX | 149984001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316348931 | Jennifer L Russell | Registered Nurse | 421 Yoctangee Pkwy, Chillicothe, OH 45601-1663 | 2014-09-15 |
| 1164850137 | Jennifer Russell | Veterinarian | 3501 Evergreen Way, Washougal, WA 98671-9142 | 2013-10-29 |
| 1497045033 | Jennifer Ann Russell | Counselor | 13 Barclay St, #2, Worcester, MA 01604-4207 | 2011-04-17 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1265552160 | Jennifer Ann Russell | Dentist | 13752 Lakeridge Dr, Fishers, IN 46037-7608 | 2007-04-02 |
| 1205986858 | Jennifer S Russell | Obstetrics & Gynecology | 13005 Us Highway 301 S, Riverview, FL 33578-7439 | 2007-01-12 |
| 1134276173 | Jennifer M Russell | Marriage & Family Therapist | 2249 Oak Glen Dr, Stillwater, MN 55082-9631 | 2007-01-04 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1881239457 | Jennifer L Russell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-11-07 |
| 1891266086 | Jennifer Russell | Licensed Practical Nurse | 2202 Martin Luther King Jr Ave, Knoxville, TN 37915-1570 | 2018-12-16 |
| Street Address |
6804 SANGER AVE #227 |
| City | WACO |
| State | TX |
| Zip Code | 76710-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700187218 | Mary Heather Fisk | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-11-15 |
| 1912207549 | Mindy Robin Stribling | Speech-Language Pathologist | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245797711 | Wendy Lynn Goff | Occupational Therapy Assistant | 10513 Calaveras, Waco, TX 76708-5785 | 2019-02-20 |
| 1063985133 | Anna Christine Bonner | Occupational Therapy Assistant | 289 Rockford Rd, Waco, TX 76712-3843 | 2019-01-10 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1629251947 | Steven Wayne Carter | Occupational Therapy Assistant | 3496 Mazanec Rd, Waco, TX 76705-6119 | 2007-12-10 |
| 1104426634 | Cheyenne E Bowers | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2020-10-26 |
| 1548896517 | Keri Elizabeth Green | Occupational Therapy Assistant | 2320 Lake Shore Dr, Waco, TX 76708-1276 | 2020-03-20 |
| 1346870557 | Candace Michelle Doggett | Occupational Therapy Assistant | 900 Washington Ave Ste 602, Waco, TX 76701-1283 | 2020-01-16 |
| 1699312850 | Lorraine Kirkpatrick | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2019-12-06 |
| 1366086456 | Ashley Abram | Occupational Therapy Assistant | 2320 Lake Shore Dr, Waco, TX 76708-1276 | 2019-10-31 |
| 1134686181 | Kelly Elizabeth Standley | Occupational Therapy Assistant | 300 W State Highway 6, Waco, TX 76712-4041 | 2019-02-26 |
| Find all providers in WACO | ||||
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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.