NANCY JO RUSSELL (NPI# 1750683769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750683769 |
| Entity Type | Individual |
| Full Name | NANCY JO RUSSELL |
| Practice Address |
415 Us Highway 95a S Ste I 901 Fernley NV 89408-9261 |
| Mailing Address |
1665 Old Hot Springs Rd Ste 157 Carson City NV 89706-0782 |
| Practice Telephone | 7755757744 |
| Practice Fax Number | 7755757769 |
| Mailing Telephone | 7756875162 |
| Mailing Fax Number | 7756871214 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306024963 | Nancy Lynn Russell | Registered Nurse | 6 Fern Rd, Calverton, NY 11933-2617 | 2008-02-06 |
| 1598887853 | Nancy Deacon Russell | Physical Therapist | 1030 S Arroyo Pkwy, Suite #109, Pasadena, CA 91105-3214 | 2007-04-05 |
| 1003942962 | Nancy Rae Russell | Social Worker | 6737 1st Ave S, St Petersburg, FL 33707-1307 | 2007-02-26 |
| 1356393938 | Nancy Russell | Social Worker | 500 Central Avenue, Clearview Center, Albany, NY 12208-1708 | 2006-05-16 |
| 1871856609 | Nancy Russell | Specialist | 590 Fishers Station Dr, Victor, NY 14564-9744 | 2012-06-18 |
| 1558639831 | Nancy Ellen Russell | Registered Nurse | 2600 Victory Pkwy, Cincinnati, OH 45206-1711 | 2011-12-01 |
| 1164640173 | Nancy Ann Russell | Physician Assistant | 50 Route 25a, Smithtown, NY 11787 | 2007-04-23 |
| 1073672804 | Nancy Russell | Pharmacist | 99 Montecillo Rd, San Rafael, CA 94903-3125 | 2006-12-07 |
| 1790875425 | Nancy Kae Russell | Internal Medicine | 5140 Ne Antioch Rd, Nurturing Optimal Wellness, Kansas City, MO 64119-2523 | 2006-10-13 |
| 1760580278 | Nancy P Russell | Physician Assistant | 440 E Central St, Franklin, MA 02038-1374 | 2006-09-20 |
| Street Address |
415 US HIGHWAY 95A S STE I 901 |
| City | FERNLEY |
| State | NV |
| Zip Code | 89408-9261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341782 | Carl D Robertson | Optometrist | 415 Us Highway 95a S, Suite 101, Fernley, NV 89408-9007 | 2006-01-23 |
| 1588202584 | Tessa Stine | Counselor | 415 Us Highway 95a S, Fernley, NV 89408-9261 | 2019-12-20 |
| 1356880488 | Janice Du Ta | Counselor | 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408-9261 | 2017-02-22 |
| 1003354663 | Susan Goddard | Counselor | 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408-9261 | 2017-02-03 |
| 1982050761 | Jennifer Brown | Psychologist | 415 Us Highway 95a S, Fernley, NV 89408-9261 | 2016-05-10 |
| 1134574114 | April Nesmith | Counselor | 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408-9261 | 2016-04-27 |
| 1053771451 | Alexandra Johnson | Counselor | 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408-9261 | 2016-02-26 |
| 1790143154 | Alyssa Caroline Peacock | Counselor | 415 Us Highway 95a S, Suite G702, Fernley, NV 89408-9261 | 2016-02-01 |
| 1730546714 | Trina Castonguay | Counselor | 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408-9261 | 2016-01-21 |
| 1356715551 | Debra Ridgeway | Counselor | 415 Us Highway 95a S, Suite 501, Fernley, NV 89408-9261 | 2015-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359634 | Kim Patrick Baumgardner | Pharmacist | 1280 Hwy. 95a North, Fernley, NV 89408 | 2020-09-03 |
| 1891303723 | Amber Timberlake | Marriage & Family Therapist | 415 Highway 95a Suite G701, Fernley, NE 89408 | 2020-07-16 |
| 1609492958 | Ana Alicia Cervantes Tippit | Social Worker | 415 Hwy 95a South Suite D, Fernley, NV 89408 | 2020-06-23 |
| 1437797172 | Whitney Howerton | Peer Specialist | 415 Highway 95a, Suite H802, Fernley, NV 89408 | 2019-12-12 |
| 1689146813 | Golden Years Castle Property Holdings LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Farm District Rd, Fernley, NV 89408 | 2018-12-28 |
| 1508355405 | Raleys | Pharmacy | 1400 State Route 95a N, Fernley, NV 89408 | 2018-05-07 |
| 1528598679 | The Dentists' Office Fernley LLC | Dentist | 300 Highway 95-a South, Ste. 110, Fernley, NV 89408 | 2017-06-12 |
| 1992246474 | Brieauna Nesmith | Counselor | 415 Hwy 95 A, Suite 702 G, Fernley, NV 89408 | 2017-03-16 |
| 1760939359 | Eloisa Martinez | Counselor | 415 Hwy 95 Suite 702g, Fernley, NV 89408 | 2016-09-01 |
| 1033665377 | Lorraine Forbes | Counselor | 415 Highway 95a Building I, Fernley, NV 89408 | 2016-08-28 |
| Find all providers in zip 89408 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902349806 | Julie Dalton | Case Manager/Care Coordinator | 536 Ranch Rd, Fernley, NV 89408-7506 | 2016-11-23 |
| 1437520129 | Shari Kassebaum | Case Manager/Care Coordinator | 2965 N Fork Rd, Fernley, NV 89408-8011 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350773 | Guiselle Maria Alvarez-delarosa | Case Manager/Care Coordinator | 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 | 2020-09-11 |
| 1477163467 | Chanel M. King | Case Manager/Care Coordinator | 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 | 2020-08-04 |
| 1912517251 | Jeffrey Hoge | Case Manager/Care Coordinator | 6644 Beacon Rd, Las Vegas, NV 89108-5390 | 2020-08-02 |
| 1225658990 | Nandish Apurva Sheth | Case Manager/Care Coordinator | 1350 Grand Summit Dr Apt 272, Reno, NV 89523-2582 | 2020-04-22 |
| 1992331698 | Angela E Oesterle | Case Manager/Care Coordinator | 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 | 2020-03-13 |
| 1336774330 | Taizha Howard | Case Manager/Care Coordinator | 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 | 2020-03-10 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1043858863 | Stephanie Marie Sifuentes-smith | Case Manager/Care Coordinator | 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 | 2019-12-11 |
| 1932741022 | Deidre Fawn Cleaver | Case Manager/Care Coordinator | 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 | 2019-10-10 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
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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.