ELIZABETH RUSSELL (NPI# 1750701538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750701538 |
| Entity Type | Individual |
| Full Name | ELIZABETH RUSSELL |
| Credential | ATC, LAT |
| Practice Address |
21003 Ih 35 Kyle TX 78640-4745 |
| Practice Telephone | 5122682141 |
| Mailing Telephone | 5122682141 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT3164 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647082 | Elizabeth Bruce Russell | Social Worker | 21 Willow Pond Way Ste 204, Penfield, NY 14526-2687 | 2018-01-15 |
| 1952792574 | Elizabeth Russell | Counselor | 4835 Shawnee Dr, Kansas City, KS 66106-3712 | 2015-02-18 |
| 1043633530 | Elizabeth Russell | Occupational Therapy Assistant | 5217 Smartt Dr, Nashville, TN 37220-2029 | 2014-02-04 |
| 1235388380 | Elizabeth M Russell | Massage Therapist | 3132 50th St, Suite B, Lubbock, TX 79413-4104 | 2008-09-13 |
| 1609994813 | Elizabeth Diane Russell | Physical Therapist | 5407 Union Sq, Benton, AR 72019-6898 | 2007-03-26 |
| 1154457497 | Elizabeth Jane Russell | Marriage & Family Therapist | 1346 N Alta Vista Blvd, Los Angeles, CA 90046-4302 | 2007-02-23 |
| 1164984852 | Elizabeth Russell | Case Manager/Care Coordinator | 706 N Brown St, Clarksville, AR 72830-2732 | 2019-04-02 |
| 1083103253 | Elizabeth Ruth Russell | Social Worker | 3310 Perimeter Hill Dr, Nashville, TN 37211-4123 | 2018-05-03 |
| 1740795160 | Elizabeth R Russell | Counselor | 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 | 2017-12-07 |
| 1245779263 | Elizabeth Russell | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2017-02-23 |
| Street Address |
21003 IH 35 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780244764 | Jennifer Nicole Guajardo | Speech-Language Pathologist | 21003 Ih 35, Kyle, TX 78640-4745 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551405 | Jose Barboza | Specialist/Technologist | 431 Foster Pl, Kyle, TX 78640-4717 | 2020-02-26 |
| 1881159689 | Morgan A Velasquez | Specialist/Technologist | 775 Goldenrod St, Kyle, TX 78640-5457 | 2019-02-05 |
| 1033673066 | Caroline Valovich | Specialist/Technologist | 4300 Cromwell Dr Apt 4210, Kyle, TX 78640-6497 | 2019-01-23 |
| 1174063291 | Jaime Javier Perez Sr. | Specialist/Technologist | 700 New Bridge Dr, Kyle, TX 78640-5542 | 2017-03-08 |
| 1487107520 | Alexis Maxine Soto | Specialist/Technologist | 140 Plum Path, Kyle, TX 78640-5575 | 2016-07-25 |
| 1861845133 | Debr Workman | Specialist/Technologist | 351 Spring Branch Loop, Kyle, TX 78640-5374 | 2016-07-21 |
| 1154781441 | Leslie Moreno | Specialist/Technologist | 1700 Lehman Rd, Kyle, TX 78640-5246 | 2016-02-29 |
| 1710591359 | Leah Mae Kilchrist | Specialist/Technologist | 21195 Interstate 35, Kyle, TX 78640-6076 | 2020-09-01 |
| 1144700675 | Kristin Victoria Aguilar | Specialist/Technologist | 1700 Lehman Rd, Kyle, TX 78640-5246 | 2018-08-15 |
| 1194264622 | Robert White | Specialist/Technologist | 1700 Lehman Rd, Kyle, TX 78640-5246 | 2017-02-16 |
| Find all providers in KYLE | ||||
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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.