TERESA M RUSSELL (NPI# 1770639346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770639346 |
| Entity Type | Individual |
| Full Name | TERESA M RUSSELL |
| Credential | NP |
| Practice Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
| Mailing Address |
3485 Old Cobble Ct San Diego CA 92111-4045 |
| Practice Telephone | 6195326950 |
| Practice Fax Number | 6195325501 |
| Mailing Telephone | 6195326950 |
| Mailing Fax Number | 6195325501 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
14528 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER CRED | 0387014-21 | 01 |
| CA | REGISTERED NURSE | 504376 | 01 |
| CA | CERT. WOUND OSTOMY CARE | 199934486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538314083 | Teresa Ann Russell | Physical Therapist | 792 W Pine Ford Rd, Boyertown, PA 19512-7502 | 2008-11-25 |
| 1780847616 | Teresa Marie Antonette Russell | Social Worker | 29 417 E Hyw 212, Busby, MT 59016-0201 | 2008-07-10 |
| 1134171945 | Teresa Marie Russell | Counselor | 10292 Chestnut Park Ln, Columbia, MD 21044-4951 | 2006-05-17 |
| 1700137122 | Teresa Payton Russell | Counselor | 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 | 2012-09-25 |
| 1871874255 | Teresa A Russell | Pharmacist | 1950 Wales Rd Ne, Massillon, OH 44646-4110 | 2011-08-30 |
| 1124312053 | Teresa Marie Russell | Nurse Practitioner | 130 E 77th St, Black Hall, 8th Floor, New York, NY 10075-1851 | 2011-06-08 |
| Street Address |
34800 BOB WILSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235134 | Willie S Chao | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-06-16 |
| 1023625571 | Samantha Savite | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-29 |
| 1588270326 | Angelina Yvette Harris | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-17 |
| 1275149296 | Alexa Werner | Physical Therapist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-09-16 |
| 1376157164 | Toure Marlow Hinton | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1316550106 | John K Housinga | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-31 |
| 1073126249 | Alfredo Carrillo | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-27 |
| 1326651647 | Daniel Adan Denge | Registered Nurse | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1275146664 | Zachariah Jacob Charles Boydsnee | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-26 |
| 1245843820 | Nikole Lanchares | Dentist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1427543685 | Meredith Cronenwett | Nurse Practitioner | 8793 Lightwave Ave, San Diego, CA 92123-5000 | 2018-06-28 |
| 1891288056 | Ayodele Bolatito Akinsuyi | Nurse Practitioner | 11287 Featherhill Ln, San Diego, CA 92126-4873 | 2018-06-12 |
| 1366958092 | Sylvia Akua Searleman | Nurse Practitioner | 17927 Aguamiel Rd, San Diego, CA 92127-1039 | 2017-12-18 |
| 1346752219 | Gurpreet Sahota | Nurse Practitioner | 7270 Rondel Ct, San Diego, CA 92119-1526 | 2017-10-31 |
| 1861912495 | Tejinder Kaur Dhandi | Nurse Practitioner | 12204 Briar Knoll Way, San Diego, CA 92128-6307 | 2017-06-24 |
| 1245782689 | Ellen Ward | Nurse Practitioner | 4320 Genesee Ave Ste 104, San Diego, CA 92117-4900 | 2016-11-02 |
| 1285088369 | Jackie Irene Nembo Kom | Nurse Practitioner | 17809 Kachina Ct, San Diego, CA 92127-1368 | 2016-04-14 |
| 1568864858 | Kathryn Hughlock | Nurse Practitioner | 4020 4th Ave, San Diego, CA 92103 | 2014-09-18 |
| 1730589953 | Morgan Wolf | Nurse Practitioner | 8935 Towne Centre Dr, San Diego, CA 92122-5651 | 2014-08-25 |
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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.