MEREDITH ANNA RUSSELL (NPI# 1689236507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689236507 |
| Entity Type | Individual |
| Full Name | MEREDITH ANNA RUSSELL |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
5622 Mount Tacoma Dr Sw Lakewood WA 98499-2811 |
| Practice Telephone | 2539680982 |
| Mailing Telephone | 2063301876 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642616 | Meredith Russell | Nurse Anesthetist, Certified Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2020-06-01 |
| 1508277336 | Meredith Russell | Physical Therapist | 2001 Mallory Ln, Suite 201, Franklin, TN 37067-8233 | 2014-05-14 |
| 1255627030 | Meredith Renee Russell | Nurse Practitioner | 400 Parnassus Ave, 2nd Floor, San Francisco, CA 94143-0434 | 2011-06-21 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183412 | Alexandra Grace Wooten | Emergency Medical Technician, Basic | 5043 N Visscher St, Tacoma, WA 98407-2112 | 2020-08-06 |
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1689038705 | William Anthony Bermoy IIi | Emergency Medical Technician, Basic | 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1710344015 | Matthew C Dayoe | Emergency Medical Technician, Basic | 9040 Reid St, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-01-19 |
| 1215308804 | Ulysses Mendez | Emergency Medical Technician, Basic | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-10-08 |
| 1386107456 | Robert De La Pena Jr. | Emergency Medical Technician, Basic | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-04-07 |
| 1366918625 | Rafcel Gabriel Hernandez | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98433-1100 | 2018-10-15 |
| Find all providers in TACOMA | ||||
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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.