STACY LEE RUSSELL (NPI# 1760802433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760802433 |
| Entity Type | Individual |
| Full Name | STACY LEE RUSSELL |
| Credential | NP |
| Practice Address |
2850 S Industrial Hwy Ste 50 Ann Arbor MI 48104-6792 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7344777228 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704207197 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639622566 | Stacy Lyn Russell | Counselor | 500 W Hospital Rd, French Camp, CA 95231-9693 | 2016-07-27 |
| 1407246259 | Stacy Russell | Pharmacy Technician | 4000 Monument Rd, Philadelphia, PA 19131-1600 | 2015-02-02 |
| 1861773996 | Stacy Russell | Physical Therapist | 17350 St Lukes Way, Suite 100, The Woodlands, TX 77384-4100 | 2011-09-02 |
| 1689979338 | Stacy Russell | Speech-Language Pathologist | 1102 Winkler Ave, Killeen, TX 76542-6249 | 2011-01-11 |
| 1295921336 | Stacy Russell | Physical Therapist | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-09-22 |
| 1336344472 | Stacy Russell | Counselor | 2265 Como Ave, Saint Paul, MN 55108-1737 | 2007-06-19 |
| 1275744328 | Stacy Dale Russell | Physical Therapist | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-05-24 |
| Street Address |
2850 S INDUSTRIAL HWY STE 50 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-6792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215973045 | Thomas Michael Simonelli | Pharmacist | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2006-06-21 |
| 1093280158 | Sarah Radke | Dietitian, Registered | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2018-10-04 |
| 1164884417 | Nancy Ambrose Gallagher | Nurse Practitioner | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2016-03-25 |
| 1639577877 | Elizabeth Anne Conway | Nurse Practitioner | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2014-12-19 |
| 1932408846 | Christopher J Maksym | Pharmacist | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2011-03-17 |
| 1891951463 | Julie K Walker | Nurse Practitioner | 2850 S Industrial Hwy Ste 50, Ann Arbor, MI 48104-6792 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624685 | Francisco Bielinki Jr. | Nurse Practitioner | 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 | 2020-03-12 |
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1649771668 | Julie Elizabeth Cain | Nurse Practitioner | 1418 Morton Ave, Ann Arbor, MI 48104-4437 | 2018-02-25 |
| 1689190167 | Sonam Krichbaum | Nurse Practitioner | 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 | 2017-08-16 |
| 1013438530 | Keely Marie Blosh | Nurse Practitioner | 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-07-06 |
| 1821538026 | Natalya Stokely-hamdan | Nurse Practitioner | 3410 Ferry St, Ann Arbor, MI 48103-1905 | 2017-03-07 |
| 1295113199 | Ji-young Byun | Nurse Practitioner | 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 | 2015-05-11 |
| 1528303740 | Teresa Kathleen Reimer | Nurse Practitioner | 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 | 2012-11-28 |
| 1053662981 | Andria Scappaticci Hazergian | Nurse Practitioner | 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 | 2012-10-02 |
| 1114171238 | Donna Lee Auer | Nurse Practitioner | 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 | 2008-11-17 |
| Find all providers in ANN ARBOR | ||||
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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.