WANDA L RUSSELL (NPI# 1891921607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891921607 |
| Entity Type | Individual |
| Full Name | WANDA L RUSSELL |
| Practice Address |
620 N Morrison Blvd Suite G Hammond LA 70401-2312 |
| Practice Telephone | 9855434113 |
| Practice Fax Number | 9855434109 |
| Mailing Telephone | 9855434113 |
| Mailing Fax Number | 9855434109 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2013-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 445 | LA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972870202 | Wanda J Russell | Counselor | 331 S Main St, Washington, PA 15301-6367 | 2011-12-01 |
| Street Address |
620 N MORRISON BLVD SUITE G |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053485425 | Robert Marion Kerne | Social Worker | 620 N Morrison Blvd, Suite 4, Hammond, LA 70401-2312 | 2006-11-20 |
| 1154669976 | Dawn Cristina Houston | Speech-Language Pathologist | 620 N Morrison Blvd, Suite G, Hammond, LA 70401-2312 | 2013-01-29 |
| 1366742835 | Benjamin R. Groover | Social Worker | 620 N Morrison Blvd, Suite C, Hammond, LA 70401-2312 | 2010-10-29 |
| 1568698181 | Brett Michael Domangue | Physical Therapist | 620 N Morrison Blvd, Suite G, Hammond, LA 70401-2312 | 2009-06-10 |
| 1225264856 | Lyn'dee Layne Leek | Occupational Therapist | 620 N Morrison Blvd, Suite G, Hammond, LA 70401-2312 | 2009-06-10 |
| 1881721645 | Gulf Coast Teaching Family Services, Inc. | Community/Behavioral Health | 620 N Morrison Blvd, Suite A, Hammond, LA 70401-2312 | 2007-02-28 |
| 1396872065 | Gulf Coast Teaching Family Services, Inc. | Community/Behavioral Health | 620 N Morrison Blvd, Suite A, Hammond, LA 70401-2312 | 2007-02-28 |
| 1508992454 | Gulf Coast Teaching Family Services, Inc. | Community/Behavioral Health | 620 N Morrison Blvd, Suite A, Hammond, LA 70401-2312 | 2007-02-26 |
| 1760518013 | Gulf Coast Teaching Family Services, Inc. | Community/Behavioral Health | 620 N Morrison Blvd, Suite A, Hammond, LA 70401-2312 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| 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 |
|---|---|---|---|---|
| 1417573833 | Meredith Bechac | Dietitian, Registered | 44260 Forbes Farm Dr, Hammond, LA 70403-4775 | 2020-06-22 |
| 1578100681 | Brittney Rodriguez | Dietitian, Registered | 511 S Cherry St, Hammond, LA 70403-4203 | 2019-12-09 |
| 1194247189 | Tracy Miller | Dietitian, Registered | 15837 Paul Vega Drive, Suite 200, Ideal You, Hammond, LA 70404-2668 | 2017-07-11 |
| 1043520919 | Julina Ann Robert | Dietitian, Registered | 20374 Sisters Rd, Hammond, LA 70403-0834 | 2010-10-13 |
| 1881789311 | Trionne Marie Burrell | Dietitian, Registered | 1131 South Morrison Ave, Hammond, LA 70403 | 2006-10-03 |
| 1053939785 | Ashley Smith | Dietitian, Registered | 15790 Paul Vega Md Drive, Nutritional Services, Hammond, LA 70403-7040 | 2020-07-09 |
| 1104485390 | Brittany Janel-helen Roussel | Dietitian, Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-06-11 |
| 1679046742 | Teresa C Jones | Dietitian, Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2019-01-10 |
| 1891286910 | Kathleen Schneider | Dietitian, Registered | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2018-05-24 |
| 1487171203 | Tiffany Adams | Dietitian, Registered | 15790 Paul Vega Md Drive, Nutritional Services, Hammond, LA 70403-1434 | 2017-08-23 |
| Find all providers in HAMMOND | ||||
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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.