HOLLY ANN RUSSELL (NPI# 1518442862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518442862 |
| Entity Type | Individual |
| Full Name | HOLLY ANN RUSSELL |
| Credential | RD |
| Practice Address |
500 Harvard St Se Minneapolis MN 55455-0363 |
| Mailing Address |
15464 Galaxie Ave Apt 136 Apple Valley MN 55124-3163 |
| Practice Telephone | 6122733000 |
| Mailing Telephone | 6515870566 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86027517 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942692512 | Holly Russell | Pharmacist | 961 Threewood Cir, Bowling Green, KY 42103-2480 | 2015-02-19 |
| 1285918052 | Holly Russell | Occupational Therapist | 10320 N New Jersey St, Indianapolis, IN 46280-1360 | 2011-09-28 |
| 1548860158 | Holly Russell | Pharmacist | 407 N State St, Desloge, MO 63601-3053 | 2020-11-01 |
| 1083233258 | Holly Russell | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-08 |
| 1104338623 | Holly L Russell | Nurse Practitioner | 2900 16th St, Bedford, IN 47421-3510 | 2017-10-25 |
| 1215319488 | Holly Russell | Licensed Practical Nurse | 11009 Louis Dr Se, Huntsville, AL 35803-1007 | 2015-06-24 |
| 1174727267 | Holly Russell | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60487-7722 | 2007-06-12 |
| 1689673410 | Holly Roxanne Russell | Physical Therapist | 2907 Williamson County Pkwy, Marion, IL 62959-5256 | 2005-07-14 |
| Street Address |
500 HARVARD ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737359 | Tae Whang Kim | Anesthesiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2005-08-16 |
| 1972100923 | Laura Eggen | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-10-02 |
| 1720695448 | Natalie Jean Olson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-27 |
| 1316551518 | Zachary Taylor | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-04 |
| 1346852969 | Lane M Skalberg | Pharmacist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-17 |
| 1801407192 | Vicky Hedican-sime | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-11 |
| 1356967293 | Rachel Saefong | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-06-16 |
| 1467073288 | Shamsah Rehmatullah | Clinical Nurse Specialist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-05-04 |
| 1801417142 | Megan Bergland | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-28 |
| 1255951216 | Michael Glenn Petty | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| 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 |
|---|---|---|---|---|
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1699385674 | Laura Macmaster Dean | Dietitian, Registered | 3125 3rd Ave S Apt 3, Minneapolis, MN 55408-3213 | 2020-08-05 |
| 1356977714 | Caitlin Pyrz | Dietitian, Registered | 2215 E Lake St, Minneapolis, MN 55407-4385 | 2020-03-18 |
| 1356977755 | Anne Janzen | Dietitian, Registered | 4129 5th Ave S, Minneapolis, MN 55409-1624 | 2020-03-17 |
| 1033763123 | Samantha Rose Osterhaus | Dietitian, Registered | 720 W Lake St Apt 401, Minneapolis, MN 55408-3376 | 2019-07-28 |
| 1366096786 | Rebecca Leighton | Dietitian, Registered | 410 Church St Se # W227, Minneapolis, MN 55455-0222 | 2019-07-25 |
| 1124671342 | Morgan Taylor Harbst | Dietitian, Registered | 580 N 2nd St Apt 110, Minneapolis, MN 55401-4324 | 2019-07-17 |
| 1164081170 | Ana Fu Guzman | Dietitian, Registered | 701 Park Ave # R5.217, Minneapolis, MN 55415-1623 | 2019-06-12 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1063990372 | Alexis Janel Haakedahl | Dietitian, Registered | 1 Veterans Dr Rm 1g121-b, Minneapolis, MN 55417-2309 | 2018-07-30 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.