CONNIE RUSSELL (NPI# 1649630856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649630856 |
| Entity Type | Individual |
| Full Name | CONNIE RUSSELL |
| Practice Address |
502 S Choctaw Ave Wapanucka OK 73461-9235 |
| Practice Telephone | 5809374288 |
| Practice Fax Number | 5809374804 |
| Mailing Telephone | 5809374288 |
| Mailing Fax Number | 5809374804 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100687480A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518509637 | Connie Russell | Registered Nurse | 1205 E Bonner Way, Salt Lake City, UT 84117-4917 | 2019-10-09 |
| 1063797587 | Connie Lee Russell | Pharmacist | 2244 Murfreesboro Rd, Nashville, TN 37217-3313 | 2011-10-16 |
| 1447691167 | Connie Russell | Counselor | 712 55th St, Kenosha, WI 53140-6506 | 2013-07-10 |
| Street Address |
502 S CHOCTAW AVE |
| City | WAPANUCKA |
| State | OK |
| Zip Code | 73461-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861701526 | Doctor's Clinic of Durant, Inc. | Obstetrics & Gynecology | 102 N Choctaw, Wapanucka, OK 73461 | 2010-09-29 |
| 1093998296 | Sandra Ann Weiland | Nurse Practitioner | 102 North Choctaw, Wapanucka, OK 73461 | 2007-12-11 |
| 1639393911 | Board of Education Wapanucka School District I037 | Public Health or Welfare | 502 S. Choctaw Ave., Wapanucka, OK 73461-0188 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861701526 | Doctor's Clinic of Durant, Inc. | Obstetrics & Gynecology | 102 N Choctaw, Wapanucka, OK 73461 | 2010-09-29 |
| 1093998296 | Sandra Ann Weiland | Nurse Practitioner | 102 North Choctaw, Wapanucka, OK 73461 | 2007-12-11 |
| 1639393911 | Board of Education Wapanucka School District I037 | Public Health or Welfare | 502 S. Choctaw Ave., Wapanucka, OK 73461-0188 | 2007-04-11 |
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639393911 | Board of Education Wapanucka School District I037 | Public Health or Welfare | 502 S. Choctaw Ave., Wapanucka, OK 73461-0188 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174044002 | Terrie Dawn Talbot | Public Health or Welfare | 500 W Chincapin St, Westville, OK 74965-0410 | 2017-06-30 |
| 1992240261 | Caring Nurses Association LLC | Public Health or Welfare | 5520 S Memorial Dr, Tulsa, OK 74145-9018 | 2016-12-22 |
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1124485263 | Oklahoma City County Health Department | Public Health or Welfare | 2700 Ne 63rd Street, Oklahoma City, OK 73111 | 2016-01-20 |
| 1144616061 | Heart Therapy | Public Health or Welfare | 711 W. Main St., Norman, OK 73069 | 2015-04-07 |
| 1467856153 | David Deere | Public Health or Welfare | 17713 S Sante Fe Pl, Mounds, OK 74047 | 2014-10-09 |
| 1063761476 | Hanna Public School | Public Health or Welfare | 2nd and Huls, Hanna, OK 74845 | 2012-08-30 |
| 1649529066 | Frink-chambers Elementary School | Public Health or Welfare | 4610 Frink Road, Mcalester, OK 74502-6367 | 2012-08-30 |
| 1063769867 | Stidham School | Public Health or Welfare | 1st and Main, Stidham, OK 74461 | 2012-08-10 |
| 1861773012 | Brushy Elementary School | Public Health or Welfare | 100968 S 4650 Rd, Sallisaw, OK 74955-2672 | 2011-09-01 |
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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.