MR. BRIAN D RUSSELL (NPI# 1992021315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992021315 |
| Entity Type | Individual |
| Full Name | MR. BRIAN D RUSSELL |
| Credential | FNP-BC |
| Practice Address |
143 Longwater Dr Norwell MA 02061-1683 |
| Mailing Address |
319 Lincoln St Apt 505 Hingham MA 02043-1777 |
| Practice Telephone | 7818785200 |
| Practice Fax Number | 7818786750 |
| Mailing Telephone | 8658069161 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2330343 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
14835 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1523401 | 05 | |
| VA | 1992021315 | 05 | |
| VA | RAILROAD MEDICARE | P01504956 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1495 Hancock St, Quincy, MA 021695229 | 7818785200 | 7818786750 |
| 2000 Brookside Dr Fl 3, Kingsport, TN 376604627 | 4238575905 | 4238575904 |
| 245 Medical Park Dr, First Floor, Marion, VA 243541100 | 2763781341 | 2763781205 |
| 408 N State of Franklin Rd Ste 24, Johnson City, TN 37604 | 4234311810 | 4234311811 |
| 648 Old West Central St Ste C, Franklin, MA 02038 | 5086138101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1487700985 | Brian Kona Russell | Chiropractor | 604 E Musser St, Carson City, NV 89701-4200 | 2007-01-26 |
| 1710031265 | Brian J Russell | Chiropractor | 128 E Oak St, Villa Park, IL 60181-2113 | 2007-01-22 |
| 1851900401 | Brian Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-07-29 |
| 1659938967 | Brian Michael Russell | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2019-05-22 |
| 1063863892 | Brian Michael Russell | Pharmacist | 2585 Main St, Buffalo, NY 14214-2023 | 2016-06-22 |
| 1497039812 | Brian Ray Russell | Physical Therapist | 107 Summer Ln, West Monroe, LA 71291-3501 | 2011-10-04 |
| 1598933970 | Brian Scott Russell | Pharmacist | 100 College Sq, Newark, DE 19711-5447 | 2008-02-19 |
| 1407078603 | Brian Russell | Social Worker | 4823 N Royal Atlanta Dr, C, Tucker, GA 30084-3806 | 2007-05-03 |
| Street Address |
143 LONGWATER DR |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560488 | Scott P. Corkins | Family Medicine | 143 Longwater Dr, South Shore Medcal Center, Inc, Norwell, MA 02061-1683 | 2005-07-07 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033778824 | South Shore Medical Center, Inc | Allergy & Immunology | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-06-06 |
| 1154885606 | Lindsay Verraster | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2019-01-29 |
| 1285112052 | South Shore Medical Center, Inc | Clinic/Center | 143 Longwater Dr, Norwell, MA 02061-1683 | 2018-08-02 |
| 1528597267 | Allyson Julia Gutstein | Pediatrics | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-06-07 |
| 1760913271 | Julia M. Vu | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2017-03-26 |
| 1134673346 | Patrick Joseph Welch | Physician Assistant | 143 Longwater Dr, Norwell, MA 02061-9147 | 2016-08-05 |
| 1811356132 | Erica Moses | Registered Nurse | 143 Longwater Dr, Norwell, MA 02061 | 2016-02-15 |
| 1710360136 | Emily Mcphee | Dietitian, Registered | 143 Longwater Dr, Norwell, MA 02061-1683 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588066476 | Renee Nicole Gaudette Mcrae | Nurse Practitioner | 232 High St, Norwell, MA 02061-1844 | 2014-09-23 |
| 1518206093 | Brooke Adair Rieth | Nurse Practitioner | 77 Accord Park Dr, Bldg D-4, Norwell, MA 02061-1623 | 2013-02-04 |
| 1427671601 | Kimberly Hope Azulay | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2020-05-22 |
| 1033753009 | Amy Pike Gianino | Nurse Practitioner | 13 Winter St, Norwell, MA 02061-1413 | 2019-11-04 |
| 1669807954 | Lori V. Devereaux | Nurse Practitioner | 143 Longwater Drive, Norwell, MA 02061 | 2013-09-05 |
| 1447500947 | Kerri Lee Buckley | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2012-09-12 |
| 1871852053 | Marguerite S Patzer | Nurse Practitioner | 75 Washington St, Norwell, MA 02061-1795 | 2012-05-09 |
| 1477710812 | Ethel Marie Dawley | Nurse Practitioner | 384 Washington St, Norwell, MA 02061-2010 | 2008-05-22 |
| 1578694980 | Laura K Phillips | Nurse Practitioner | 143 Longwater Dr, South Shore Medical Center, Norwell, MA 02061-1683 | 2007-03-08 |
| 1427159128 | Amy Christine Federico | Nurse Practitioner | 143 Longwater Dr, Norwell, MA 02061-1683 | 2006-09-26 |
| Find all providers in NORWELL | ||||
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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.