Eldon Russell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

810 Central Ave
Humboldt, NE 68376-6111

Phone

(402) 862-2151

NPI assigned

Apr 23, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humboldt Table Rock Steinauer

  • Local Education Agency (LEA)
  • Humboldt, NE
  • NPI 1447900808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1003603044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 61ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CENTRAL AVE",
            "city": "HUMBOLDT",
            "state": "NE",
            "postal_code": "683766111",
            "telephone_number": "402-862-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ELDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kristin Leech, RN
• Jennie Ruth Mathew
• Whitney Mumma, MA
• Bianca Ramirez
• Whitney Rubendall, PTA
• Veronica Schiffbauer
• Dawn Sherman
• Southeast Nebraska Community Action Partnership, Inc.
• Southeast Nebraska Community Action Partnership, Inc.
• Jessica Strauch

• Behavior Technician in Humboldt, NE
• Providers in Humboldt, NE by specialty
• Behavior Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.