CAITLIN HOPE RUSSELL (NPI# 1841819851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841819851 |
| Entity Type | Individual |
| Full Name | CAITLIN HOPE RUSSELL |
| Credential | LAT, ATC |
| Practice Address |
1709 Chambers Dr Apt 24 Matthews NC 28105-4781 |
| Practice Telephone | 7046144540 |
| Mailing Telephone | 7046144540 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-4266 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 22 | 2255A2300X | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104173061 | Caitlin Russell | Dietitian, Registered | 3978 Land O Lakes Dr Ne, Atlanta, GA 30342-4229 | 2012-08-10 |
| 1861960296 | Caitlin Elizabeth Russell | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-11-03 |
| 1356834295 | Caitlin Russell | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2018-06-13 |
| 1750899589 | Caitlin Owen Russell | Behavior Technician | 124 Capulet Dr, St Augustine, FL 32092-4537 | 2018-01-15 |
| 1760831036 | Caitlin Caroline Russell | Nurse Anesthetist, Certified Registered | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2016-06-08 |
| 1558629881 | Caitlin R Russell | Family Medicine | 301 Med Tech Pkwy Ste 140, Johnson City, TN 37604-2651 | 2012-04-24 |
| Street Address |
1709 CHAMBERS DR APT 24 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-4781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| 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 |
|---|---|---|---|---|
| 1619397569 | Huston Johnson Mattson Iv | Specialist/Technologist | 4901 Weddington Rd, Matthews, NC 28104-6267 | 2014-04-18 |
| 1144656695 | Katherine Fletcher | Specialist/Technologist | 11011 Monroe Rd, Matthews, NC 28105-5439 | 2013-09-16 |
| 1932326196 | Sarah J Bettuchy | Specialist/Technologist | 3420 Darlington Rd, Matthews, NC 28105-6791 | 2007-04-19 |
| 1962466466 | Jennifer Lynn Tatelbaum | Specialist/Technologist | 10809 Parrish St Apt 202, Matthews, NC 28105-8939 | 2006-04-13 |
| 1407848070 | Thomas J Morgan | Specialist/Technologist | 1013 Chestnut Ln Ste 120, Matthews, NC 28104 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617180 | Valerie Downing | Specialist/Technologist | 205 N Knoll Rd, Southern Pines, NC 28387-2936 | 2020-10-20 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1992302772 | Emily Elizabeth Macadam | Specialist/Technologist | 115 Blue Rd, Pinehurst, NC 28374-9125 | 2020-10-05 |
| 1407453640 | Asal Rahbar Lenz | Specialist/Technologist | 5140 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2020-10-01 |
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.