DIANE RUSSO (NPI# 1780623561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780623561 |
| Entity Type | Individual |
| Full Name | DIANE RUSSO |
| Practice Address |
4201 Tudor Centre Dr Suite 320 Anchorage AK 99508-5904 |
| Mailing Address |
1800 E Parks Hwy Wasilla AK 99654-7353 |
| Practice Telephone | 9077294955 |
| Mailing Telephone | 9077296000 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 100 | AK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386987998 | Diane J. Russo | Physical Therapist | 18 Stuart Drive, Coram, NY 11727 | 2013-04-02 |
| 1205474640 | Diane Russo | Counselor | 281 Phelps Ln, North Babylon, NY 11703-4005 | 2019-12-17 |
| 1568022333 | Diane Marie Russo | Counselor | 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027-4990 | 2019-06-14 |
| 1174839146 | Diane Russo | Optometrist | 10 Lincoln Sq, Eye Care and Vision Center, Worcester, MA 01608-1135 | 2010-08-27 |
| 1467699868 | Diane Marie Russo | Occupational Therapist | 36 Violet Ave, Mineola, NY 11501-4624 | 2009-01-07 |
| 1871640490 | Diane Kay Russo | Chiropractor | 1475 Terrell Mill Rd Se, Suite 108, Marietta, GA 30067-6049 | 2007-01-04 |
| Street Address |
4201 TUDOR CENTRE DR SUITE 320 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435113 | Ronald A Feigin | Psychiatry & Neurology | 4201 Tudor Centre Dr, Suite 303, Anchorage, AK 99508-5904 | 2006-02-13 |
| 1497397541 | Sandra Cherise Cummings | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-10-10 |
| 1578114922 | Allison Schreck | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-26 |
| 1629629142 | Sherilyn Soots | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2019-09-25 |
| 1639653561 | Monica Gallagher | Massage Therapist | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2018-09-17 |
| 1871025262 | Wendy Olsen | Massage Therapist | 4201 Tudor Centre Dr, Third Floor, Anchorage, AK 99508-5914 | 2017-04-03 |
| 1790192433 | Southcentral Foundation | Clinic/Center | 4201 Tudor Centre Dr, Anchorage, AK 99508-5914 | 2014-07-15 |
| 1184964199 | Christinejoy Cunanan Bilbao | Physical Therapy Assistant | 4201 Tudor Centre Dr, Anchorage, AK 99508-5904 | 2013-02-28 |
| 1174889828 | Kelly Anne Campbell | Social Worker | 4201 Tudor Centre Dr, Suite #300, Anchorage, AK 99508-5904 | 2012-04-06 |
| 1841594827 | Southcentral Foundation | Dietary Manager | 4201 Tudor Centre Dr, Attn: Diabetes Education, Anchorage, AK 99508-5904 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
| 1366950842 | Haley Hughes | Dietitian, Registered | 3240 Providence Drive, Suite A453, Anchorage, AK 99508 | 2018-01-18 |
| 1457867830 | Ashley Lynn Funk | Dietitian, Registered | 6043 E 22nd Ave, Anchorage, AK 99504-3211 | 2017-12-20 |
| 1932614120 | Reroot Nutrition | Dietitian, Registered | 10328 Valley Park Dr, Anchorage, AK 99507-7322 | 2017-12-09 |
| 1225547813 | Joanna K Bryant | Dietitian, Registered | 2651 Debarr Road, Suite 250, Alaska Regional Hospital Health Management Center, Anchorage, AK 99508 | 2017-09-26 |
| 1801337027 | Sarah Zou | Dietitian, Registered | 3620 Providence Dr, Suite 322, Anchorage, AK 99508 | 2017-03-20 |
| 1700333408 | Siena Vanucci | Dietitian, Registered | 10047 Nantucket Cir, Anchorage, AK 99507-4438 | 2016-09-09 |
| Find all providers in ANCHORAGE | ||||
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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.