MR. TERENCE P RUSSELL (NPI# 1588702773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588702773 |
| Entity Type | Individual |
| Full Name | MR. TERENCE P RUSSELL |
| Credential | MA |
| Practice Address |
550 Water St Ste A Santa Cruz CA 95060-4126 |
| Practice Telephone | 8314628260 |
| Practice Fax Number | 8314628262 |
| Mailing Telephone | 8314628260 |
| Mailing Fax Number | 8314628262 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
AU610 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HEARING AID DISPENSER | HA1037 | 01 |
| CA | CALIFORNIA AUDIOLOGY LICE | AU610 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1595 Soquel Dr, 150, Santa Cruz, CA 950651719 | 8314628260 | 8314628262 |
| Street Address |
550 WATER ST STE A |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923711 | Daniel A Spilman | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-05-26 |
| 1063028207 | Nicole Jasmin Burgis | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2020-09-22 |
| 1962049213 | Manuel Ocano | Hearing Instrument Specialist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2019-12-05 |
| 1104272657 | Rachel Ersoff | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2016-05-13 |
| 1265775340 | Charie M Evans | Physician Assistant | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2013-03-27 |
| 1679827174 | Naomi Legate | Nurse Practitioner | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2012-11-05 |
| 1326337544 | James Teng | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2011-03-29 |
| 1871631853 | Ruth H Kaspar | Audiologist | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2007-02-02 |
| 1659437838 | Hannah Farquharson | Family Medicine | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-12-29 |
| 1558301358 | Barker Seftel Spilman Gen Ptrs | Otolaryngology | 550 Water St Ste A, Santa Cruz, CA 95060-4126 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 231HA2500X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Supplier |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851532857 | Ear Professionals International Corporation | Audiologist | 17870 Castleton St Ste 320, City of Industry, CA 91748-6709 | 2009-03-20 |
| 1477601540 | Daniel R Brown | Audiologist | 4926 Hollywood Blvd, Suite B, Los Angeles, CA 90027-6102 | 2007-01-08 |
| 1205994811 | Astrida V Rockwell | Audiologist | 162 W Stockton Rd, Sonora, CA 95370-9702 | 2006-12-05 |
| 1609949866 | Crystal Lynn Chalmers | Audiologist | 15 Jan Ct, Chico, CA 95928-4418 | 2006-11-16 |
| 1942236633 | Center for The Education of The Infant Deaf | Audiologist | 1035 Grayson St, Berkeley, CA 94710-2642 | 2006-06-24 |
| 1134188154 | Huh Help U Hear Hearing Aid Centers, Inc | Audiologist | 40101 Monterey Ave, Suite E-2, Rancho Mirage, CA 92270-3261 | 2006-03-20 |
| 1952960130 | Taylor Louise Cox | Audiologist | 623 W Duarte Rd Ste 8, Arcadia, CA 91007-7349 | 2019-06-11 |
| 1508995317 | Roswitha H Hutcherson | Audiologist | 6633 Coyle Ave, Suite 1, Carmichael, CA 95608-6332 | 2007-03-05 |
| 1770621740 | Angelina Valencia | Audiologist | 15861 Winchester Blvd, Los Gatos, CA 95030-3306 | 2007-02-02 |
| 1699812354 | Lisa A Dundas | Audiologist | 1100 S Eliseo Dr, 108, Greenbrae, CA 94904-2017 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on MR. TERENCE P 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.