AQUEELAH RUSSELL (NPI# 1699257055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699257055 |
| Entity Type | Individual |
| Full Name | AQUEELAH RUSSELL |
| Credential | IBCLC |
| Practice Address |
855 N. Catalina Ave Pasadena CA 91104 |
| Practice Telephone | 8187203693 |
| Mailing Telephone | 8187203693 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
855 N. CATALINA AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| 1770832883 | Lucinda Doty Grush | Marriage & Family Therapist | 1495 N. Lake Ave, Pasadena, CA 91104 | 2012-09-05 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031397 | Arabella Hancock | Lactation Consultant, Non-RN | 1038 Rose Ave, Pasadena, CA 91107-1867 | 2020-10-20 |
| 1083107940 | Josee Forget | Lactation Consultant, Non-RN | 280 E Del Mar Blvd Apt 141, Pasadena, CA 91101-2711 | 2018-06-14 |
| 1700393709 | Evonne D Smith | Lactation Consultant, Non-RN | 1357 N Hill Ave, Pasadena, CA 91104-2611 | 2017-12-29 |
| 1013368109 | Gina M Buccolo | Lactation Consultant, Non-RN | 1966 Lundy Ave, Pasadena, CA 91104-1056 | 2016-06-29 |
| 1770977332 | Miranda Johnson-haddad | Lactation Consultant, Non-RN | 763 S Oakland Ave, Pasadena, CA 91106-3722 | 2015-03-22 |
| 1215273487 | Christina Sainato | Lactation Consultant, Non-RN | 580 N Wilson Ave, Pasadena, CA 91106-1110 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922722 | Ashley Elizabeth Tehrani | Lactation Consultant, Non-RN | 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 | 2020-11-02 |
| 1760083216 | Teresa Marie Peters | Lactation Consultant, Non-RN | 1120 S Santa Anita Ave Apt A, Arcadia, CA 91006-4029 | 2020-11-02 |
| 1982203667 | Paula Conriquez | Lactation Consultant, Non-RN | 6230 Drop Off Rd, Pollock Pines, CA 95726-9633 | 2020-10-22 |
| 1194331314 | Madison Benstead | Lactation Consultant, Non-RN | 26672 Fino Ct, Redlands, CA 92373-4318 | 2020-09-22 |
| 1952917189 | Kayla Benado | Lactation Consultant, Non-RN | 4653 California Blvd, Santa Maria, CA 93455-4158 | 2020-09-22 |
| 1376152835 | Rebecca Howell | Lactation Consultant, Non-RN | 4811 N Bellflower Blvd, Long Beach, CA 90808-1121 | 2020-07-30 |
| 1740898659 | Heidi Burke-pevney | Lactation Consultant, Non-RN | 1808 Sheridan Way, San Marcos, CA 92078-0929 | 2020-07-16 |
| 1942828140 | Megan Zoe Barrett | Lactation Consultant, Non-RN | 49 Bonita Ave, Piedmont, CA 94611-3947 | 2020-07-14 |
| 1225659840 | Antonina Proshak | Lactation Consultant, Non-RN | 811 Grand Ave Ste A1, Sacramento, CA 95838-3466 | 2020-05-05 |
| 1073134219 | Mina Ognjanovic-jasovic | Lactation Consultant, Non-RN | 17046 Burbank Blvd Apt 1, Encino, CA 91316-1830 | 2020-04-28 |
| 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.