CARISSA LEIGH RUSSELL (NPI# 1568082923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568082923 |
| Entity Type | Individual |
| Full Name | CARISSA LEIGH RUSSELL |
| Credential | ATC |
| Practice Address |
28080 Lemoyne Rd Millbury OH 43447-9747 |
| Mailing Address |
2801 S Main St Apt D4 Findlay OH 45840-1055 |
| Practice Telephone | 4192793794 |
| Mailing Telephone | 9894309977 |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750507166 | Carissa L Russell | Dental Hygienist | 140 E Main Street, Othello, WA 99344 | 2007-04-17 |
| Street Address |
28080 LEMOYNE RD |
| City | MILLBURY |
| State | OH |
| Zip Code | 43447-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700984515 | Lake Twp Office of Clerk | Ambulance | 27975 Cummins Rd, Millbury, OH 43447 | 2006-09-20 |
| 1689042723 | Samantha Whiteman | Specialist/Technologist | 24852 W Walbridge Rd, Millbury, OH 43447-9509 | 2015-09-06 |
| 1801269832 | Marsha Rider I | Licensed Practical Nurse | 29139 Kearsley St, Millbury, OH 43447-9608 | 2015-11-13 |
| 1578625521 | Price Family Practice Inc | Family Medicine | 3601 Ayers Rd, Millbury, OH 43447-9739 | 2006-12-15 |
| 1699200915 | Esperanza Gutierrez | Speech-Language Pathologist | 28150 Lemoyne Rd, Millbury, OH 43447-9747 | 2017-04-24 |
| 1407097017 | Lake Local Schools | Local Education Agency (LEA) | 28090 Lemoyne Rd, Millbury, OH 43447-9747 | 2009-03-11 |
| 1336678465 | Lisa Ann Neeson | Speech-Language Pathologist | 28090 Lemoyne Rd, Millbury, OH 43447-9747 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449519 | Tiana Benton | Counselor | 2 Epping St, Millbury, MA 01527-3517 | 2020-08-26 |
| 1013527688 | Tatiana Daher | Registered Nurse | 64 Wheelock Ave, Millbury, MA 01527-3533 | 2020-08-07 |
| 1467079517 | Bernard Waigi | Registered Nurse | 18 Irene Ct, Millbury, MA 01527-3701 | 2020-07-05 |
| 1396377933 | Casey Roy | Behavior Technician | 13 Overlook Ave, Millbury, MA 01527-3611 | 2020-02-11 |
| 1922646272 | Counseling Center At Millbury LLC | Clinic/Center | 29 Main St Ste 300, Millbury, MA 01527-2005 | 2019-12-18 |
| 1306497441 | Kimberly Welsch | Counselor | 3 Lexington Rd, Millbury, MA 01527-3955 | 2019-09-20 |
| 1730641168 | Dg Physical Therapy PC | Clinic/Center | 73 Canal St, Millbury, MA 01527-3253 | 2019-04-04 |
| 1598229361 | Blackstone Valley Acupuncture | Acupuncturist | 22 West St Ste 5, Millbury, MA 01527-2677 | 2019-01-25 |
| 1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
| 1033690896 | Christa Julienne Rebidue | Physical Therapist | 13 Gover Rd, Millbury, MA 01527-4113 | 2018-08-28 |
| Find all providers in MILLBURY | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689042723 | Samantha Whiteman | Specialist/Technologist | 24852 W Walbridge Rd, Millbury, OH 43447-9509 | 2015-09-06 |
| 1003322694 | Laura Collins | Specialist/Technologist | 12 Martin St, Millbury, MA 01527-2014 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1497355085 | Stephanie Soja | Specialist/Technologist | 4170 State Route 43, Kent, OH 44240-6916 | 2020-11-01 |
| 1518566769 | Hannah Dawn Bailey | Specialist/Technologist | 42338 State Route 7, Coolville, OH 45723-9519 | 2020-10-20 |
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1427657675 | Kacie Lucille Leppla | Specialist/Technologist | 6471 Township Road 346, Millersburg, OH 44654 | 2020-10-20 |
| 1144828815 | Sarah Abelseth | Specialist/Technologist | 2547 Panther Dr Ne, New Lexington, OH 43764-1396 | 2020-10-14 |
| 1235737511 | Kayla Marie Bartlett-ulrich | Specialist/Technologist | 1 University Dr # 128, Bluffton, OH 45817-2104 | 2020-10-09 |
| 1417554981 | Abbigayle Gesler | Specialist/Technologist | 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 | 2020-10-07 |
| 1851998421 | Olivia A Saflund | Specialist/Technologist | 9514 Reiger Rd, Berlin Heights, OH 44814-9644 | 2020-10-06 |
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| 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.