MRS. CAROLYN VETTA RUSSELL (NPI# 1811082191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811082191 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN VETTA RUSSELL |
| Credential | MSN, RN, CFNP |
| Practice Address |
840 N Oak Ave Ruleville MS 38771-3227 |
| Mailing Address |
121 Girl Scout Rd Grenada MS 38901-9283 |
| Practice Telephone | 6627562711 |
| Practice Fax Number | 6627564114 |
| Mailing Telephone | 6622267311 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
143980 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396279196 | Carolyn Renee Russell | Case Manager/Care Coordinator | 502 Bryan Dr, Enid, OK 73701-6908 | 2017-04-18 |
| 1942413000 | Carolyn Russell | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-05-07 |
| Street Address |
840 N OAK AVE |
| City | RULEVILLE |
| State | MS |
| Zip Code | 38771-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
| 1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
| 1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
| 1184275133 | Kathryn Meredith James | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771 | 2019-09-21 |
| 1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
| 1386203354 | Robert F Cox | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-06-12 |
| 1861058901 | Jane Critz Long | Dietitian, Registered | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-05-14 |
| 1396208708 | Ambroshia Hope | Registered Nurse | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-04-11 |
| 1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
| 1649765223 | Nikita Marie Calvin | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001501 | North Sunflower Medical Center | Pharmacy | 860 N Oak Ave, Ruleville, MS 38771 | 2014-07-15 |
| 1548581184 | North Sunflower Medical Center | Clinic/Center | 101 Floyce St., Ruleville, MS 38771 | 2010-06-17 |
| 1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
| 1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
| 1962444018 | Sandanna Hospice, Inc. | Hospice Care, Community Based | 105 Floyce Street, Ruleville, MS 38771-0365 | 2006-06-12 |
| 1376612895 | North Sunflower Medical Center | Durable Medical Equipment & Medical Supplies | 820 N Oak Ave, Ruleville, MS 38771-3215 | 2006-11-07 |
| 1548710510 | North Sunflower Medical Center | Clinic/Center | 860 N Oak Ave, Ruleville, MS 38771-3227 | 2016-10-13 |
| 1255405205 | Ruleville Nursing and Rehabiliation Center, LLC | Skilled Nursing Facility | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2006-11-20 |
| 1003280702 | Leah Cori Gregory-johnson | Speech-Language Pathologist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-11-18 |
| 1124498340 | Tajda Cooper | Occupational Therapist | 800 Stansel Dr, Ruleville, MS 38771-3320 | 2015-09-30 |
| Find all providers in zip 38771 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649442484 | Brooks Marlow Rizzo | Nurse Practitioner | 840a N. Oak Ave., Ruleville, MS 38771 | 2008-04-01 |
| 1699717249 | Samuel Dean Seeley | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-06-11 |
| 1023627122 | Kristen Cassidy Scott | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-07-24 |
| 1487271201 | Lajarvis Antwon Lewis | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2020-06-26 |
| 1629627542 | Hannah Schlatter Farmer | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2019-09-04 |
| 1013489756 | Cody Elizabeth Field | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2018-12-19 |
| 1447788609 | Heidi Marie Compton | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2017-05-31 |
| 1477941870 | Angela Denise Gibson | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2015-01-07 |
| 1346654415 | Natalie Roberts Dozier | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2014-06-17 |
| 1861833477 | Thomas V. Scott Jr. | Nurse Practitioner | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2013-07-11 |
| Find all providers in RULEVILLE | ||||
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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.