BONNIE RUSSELL (NPI# 1932395688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932395688 |
| Entity Type | Individual |
| Full Name | BONNIE RUSSELL |
| Practice Address |
419 Indian Meadow Drive Georgetown TX 78626 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5126180348 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT07456 | TX | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780674408 | Bonnie Porter Russell | Pharmacist | 910 N Dixie Ave, Elizabethtown, KY 42701-2519 | 2005-10-25 |
| 1518298108 | Bonnie Russell | Counselor | 3930 4th Ave, 300, San Diego, CA 92103-3119 | 2010-01-20 |
| 1083889380 | Bonnie Jean Russell | Speech-Language Pathologist | 345 E Superior St, Chicago, IL 60611-2654 | 2008-04-28 |
| 1033159652 | Bonnie Russell | Counselor | 840 E Plum, Moses Lake, WA 98837 | 2006-06-08 |
| Street Address |
419 INDIAN MEADOW DRIVE |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
|---|---|---|---|---|
| 1265046411 | Gena Baisa | Dietitian, Registered | 106 Rapid Springs Cv, Georgetown, TX 78628-2182 | 2020-09-04 |
| 1255975355 | Lynleigh Palmer | Dietitian, Registered | 14280 Brandy Ln, Georgetown, DE 19947-4563 | 2019-10-31 |
| 1902458565 | Michael Kortschak | Dietitian, Registered | 105 Magona Trl, Georgetown, TX 78628-7236 | 2019-07-14 |
| 1407310949 | Carly Ann Wright | Dietitian, Registered | 2300 Wolf Ranch Pkwy Apt 5106, Georgetown, TX 78628-7298 | 2019-01-29 |
| 1285101501 | Norma Sue Thyen | Dietitian, Registered | 31002 La Quinta Dr, Georgetown, TX 78628-1173 | 2018-10-24 |
| 1114341708 | Kelsey Tiller | Dietitian, Registered | 100 Roberts Rd, Georgetown, SC 29440-6898 | 2014-02-18 |
| 1235400995 | Michelle Carter | Dietitian, Registered | 204 Alyssa Dr, Georgetown, TX 78633-4472 | 2012-01-25 |
| 1801404223 | Madison Lei Hines | Dietitian, Registered | 20930 Dupont Blvd Unit 202, Georgetown, DE 19947-1724 | 2020-07-22 |
| 1700404985 | Waccamaw Nutrition | Dietitian, Registered | 100 Roberts Rd, Georgetown, SC 29440-6898 | 2020-07-14 |
| 1013289081 | Hope Van Der Heijden | Dietitian, Registered | 1915 S Austin Ave, Suite 106, Georgetown, TX 78626-7843 | 2012-02-06 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.