JACOB RUSSELL (NPI# 1942540398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942540398 |
| Entity Type | Individual |
| Full Name | JACOB RUSSELL |
| Practice Address |
320 12th Ave Ne Norman OK 73071-5238 |
| Mailing Address |
1840 W Boyd St Norman OK 73069-4828 |
| Practice Telephone | 4055733842 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750411963 | Jacob Russell | Dentist | 525 Nautilus St, La Jolla, CA 92037-6139 | 2007-03-06 |
| 1184799876 | Jacob G Russell | Counselor | 104 Conniebrook Ln, Melbourne, AR 72556-8861 | 2006-11-21 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1417318361 | Jacob Robert Russell | Emergency Medicine | 620 Skyline Dr, Jackson, TN 38301 | 2016-03-18 |
| 1982931945 | Jacob Russell | Pharmacist | 6255 E Grant Rd, Tucson, AZ 85712-5804 | 2009-11-12 |
| Street Address |
320 12TH AVE NE |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952379208 | Lauri J Kearns | Psychiatry & Neurology | 320 12th Ave Ne, Norman, OK 73071-5238 | 2006-03-12 |
| 1124637400 | Ti'anca Mock | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-23 |
| 1124640180 | Alexsandra Lynn Porter | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2020-05-13 |
| 1558884692 | Jennifer L Robertson | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2017-07-20 |
| 1780077529 | Cindy Hanska | Counselor | 320 12th Ave Ne, Norman, OK 73071-5238 | 2015-03-17 |
| 1609125293 | Jeffery Clint Mackey | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2012-08-29 |
| 1942597612 | Leesa Marie Meadows Gunns | Case Manager/Care Coordinator | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-07-01 |
| 1285927236 | Brenda Joy Rommann | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2011-05-24 |
| 1720397938 | Deidre T. Alexander | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2010-10-05 |
| 1932418894 | Brenda A Scott | Social Worker | 320 12th Ave Ne, Norman, OK 73071-5238 | 2010-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689195950 | Kayla Crenshaw | Specialist/Technologist, Other | 1239 S Quincy Ave Apt 13, Tulsa, OK 74120-5277 | 2017-06-27 |
| 1578096376 | Curt A Angel | Specialist/Technologist, Other | 1706 S 84th East Ave, Tulsa, OK 74112-8340 | 2017-04-07 |
| 1962946327 | Anita Lynn Noland | Specialist/Technologist, Other | 1620 Castle Rock Rd, Yukon, OK 73099-4429 | 2016-12-05 |
| 1568916039 | Larissa Waits | Specialist/Technologist, Other | 407 N Bliss Ave, Tahlequah, OK 74464-2502 | 2016-08-12 |
| 1932562261 | Lindsay Kay Kennedy | Specialist/Technologist, Other | 113 Dianna Dr., Yukon, OK 73099 | 2016-04-04 |
| 1437250867 | James Allen Carr | Specialist/Technologist, Other | 10301 E 51st St Ste E, Tulsa, OK 74146-5808 | 2006-09-26 |
| 1588017594 | Kevin Sadosky | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2016-07-14 |
| 1881052918 | Bianca Lorraine Thompson | Specialist/Technologist, Other | 1311 N Lottie Ave, Oklahoma City, OK 73117-2051 | 2016-02-03 |
| 1386023539 | Joni Cook | Specialist/Technologist, Other | 800 Tucker Dr, Tulsa, OK 74104-9700 | 2015-05-20 |
| 1801283379 | Taylor Hopcraft | Specialist/Technologist, Other | 205 E B St, Jenks, OK 74037-3906 | 2015-04-22 |
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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.