JUDITH ANN RUSSELL (NPI# 1982859237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982859237 |
| Entity Type | Individual |
| Full Name | JUDITH ANN RUSSELL |
| Credential | NP-C |
| Practice Address |
2817 Saint Johns Blvd Joplin MO 64804-1563 |
| Practice Telephone | 4176252300 |
| Practice Fax Number | 4176252005 |
| Mailing Telephone | 4176252300 |
| Mailing Fax Number | 4176252005 |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
119130 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200587240C | 05 | |
| OK | 200249990A | 05 | |
| MO | 1982859237 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144472135 | Judith G Russell | Specialist | 6313 Ne 109th St, Vancouver, WA 98686-4631 | 2008-10-21 |
| 1720276348 | Judith A Russell | Psychologist | 1004 Miner St, Ann Arbor, MI 48103-3124 | 2007-10-09 |
| 1780658955 | Judith Kay Russell | Registered Nurse | 8405 W Alameda Ave, Lakewood, CO 80226-2908 | 2006-02-15 |
| 1649770827 | Judith D Russell | Registered Nurse | 4740 N Clark St, Chicago, IL 60640-4689 | 2018-02-14 |
| 1164861993 | Judith Russell | Social Worker | 620 8th Ave, Terre Haute, IN 47804-2744 | 2013-06-14 |
| 1982999884 | Judith Russell | Social Worker | 47 1st St, Redlands, CA 92373-4601 | 2011-06-20 |
| 1477858744 | Judith Ann Russell | Occupational Therapy Assistant | 2495 Main St, Suite 234, Buffalo, NY 14214-2152 | 2011-01-18 |
| 1508957556 | Judith Anita Russell | Home Health Aide | 1001 S Marshall St, Box 81, Winston Salem, NC 27101-5852 | 2006-09-27 |
| Street Address |
2817 SAINT JOHNS BLVD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475618 | Thomas B. Burkhardt | Pathology | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2005-11-25 |
| 1437566841 | Shelby King | Nurse Practitioner | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2014-07-17 |
| 1538409495 | Barbara J West | Registered Nurse | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2013-02-28 |
| 1952687477 | Mercy St John's | General Acute Care Hospital | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2011-10-28 |
| 1104114073 | Jason Lee Ricks | Nurse Anesthetist, Certified Registered | 2817 Saint Johns Blvd, Anesthesia Dept, Joplin, MO 64804-1563 | 2011-07-13 |
| 1508192543 | Mercy Hospital Joplin | Rehabilitation Unit | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2009-10-27 |
| 1851541072 | Robert Coats | Nurse Anesthetist, Certified Registered | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2008-09-24 |
| 1104098664 | John Harland Irlam | Pathology | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2008-03-25 |
| 1578685889 | Leanna Swager | Nurse Anesthetist, Certified Registered | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2007-04-06 |
| 1063449676 | Mollie Marie James | Internal Medicine | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156046 | Cassandra E Olson | Nurse Practitioner | 200 Castle Dr, Joplin, MO 64804-9115 | 2020-02-19 |
| 1841823770 | Kaitlyn Carley Terrell | Nurse Practitioner | 100 Mercy Way Ste 520, Joplin, MO 64804-4524 | 2020-02-19 |
| 1669011888 | Megan Crowder | Nurse Practitioner | 2620 Cunningham Ave, Joplin, MO 64804-1542 | 2020-01-06 |
| 1932757291 | Jennifer Lynn Morris | Nurse Practitioner | 4315 Kentucky Ave, Joplin, MO 64804-4645 | 2019-08-29 |
| 1104470087 | Keila Betzaira Guzman | Nurse Practitioner | 1707 Rex Ave Apt 163, Joplin, MO 64801-5940 | 2019-07-29 |
| 1811460975 | Joan I Aura | Nurse Practitioner | 2129 Nashville St, Joplin, MO 64801-1347 | 2019-01-10 |
| 1669920807 | Amy Michelle Buckner | Nurse Practitioner | 4231 W 28th St, Joplin, MO 64804-8124 | 2016-09-16 |
| 1700249646 | Advanced Practice House Calls of Joplin, LLC | Nurse Practitioner | 2521 W 24th St, Joplin, MO 64804-1491 | 2016-03-29 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1285051771 | Denise Lynn Dugan | Nurse Practitioner | 2817 St.john's Blvd, Joplin, MO 64804 | 2014-03-24 |
| Find all providers in JOPLIN | ||||
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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.