Kathleen A Russell (NPI# 1023375276, PAC ID# 5294007621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023375276 |
| PAC ID by PECOS | 5294007621 |
| Professional Enrollment ID | I20170821001292 |
| Full Name | Kathleen A Russell |
| Organization Legal Name | HAVEN MEDICAL GROUP LLC |
| Address |
4200 Nw 90th Blvd Gainesville FL 32606-3809 |
| Phone Number | 3523782121 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365692373 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 | 3523782121 | HAVEN MEDICAL GROUP LLC |
| Organization Legal Name | HAVEN MEDICAL GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joni K Donahoo | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Tiffany T Massey | Family Medicine | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Laura L Yantes | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Charles L Suggs Iii | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Geraldine Susan Shaw Bichier | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Shayna E Rich | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Ellen L Talos | Family Practice | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Neel G Karnani | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Katie L Youngblood | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Street Address |
4200 NW 90TH BLVD |
| City | GAINESVILLE |
| State | FL |
| Zip | 32606-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joni K Donahoo | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Tiffany T Massey | Family Medicine | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Laura L Yantes | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Charles L Suggs Iii | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Geraldine Susan Shaw Bichier | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Shayna E Rich | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Ellen L Talos | Family Practice | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Neel G Karnani | Hospice/palliative Care | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Katie L Youngblood | Nurse Practitioner | Haven Medical Group LLC | 4200 Nw 90th Blvd, Gainesville, FL 32606-3809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Thomas Liuzzo | Chiropractic | North Florida Chiropractic Center Pa | 2341 Nw41st St C, Gainesville, FL 32606 |
| Karelina Muguercia | Family Medicine | 25 W Kaley Ave, Suite 300 B, Orlando, FL 32606-2940 | |
| Jeffrey David White | Anesthesiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Arvin W Trippensee | Anesthesiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| John Matthew Howes | Anesthesiology Assistant | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| John Rees | Diagnostic Radiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Darrah L Dawson | Certified Registered Nurse Anesthetist (crna) | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Jack Hagan | Anesthesiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Keith A Howell | Anesthesiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Matthew Hernandez | Anesthesiology | Florida Clinical Practice Association Inc | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 |
| Find all physicians in zip 32606 | |||
| City | GAINESVILLE |
| Zip Code | 32606 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GAINESVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen A Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.