Kristen Russell, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-094 Issued in ID

Practice address

3169 S Bown Way
Boise, ID 83706-5400

Phone

(208) 433-9152

Fax

(208) 344-4752

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laurie Appel Otrl PLLC

  • Occupational Therapist
  • Boise, ID
  • NPI 1205027182
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1013246669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065400",
            "telephone_number": "208-433-9152",
            "fax_number": "208-344-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065400",
            "telephone_number": "208-433-9152",
            "fax_number": "208-344-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTEN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Russell-Smith, LMSW
• Anne Russell, RN
• Dakota Russell
• Graham E Russell, BSN, DNP-CRNA
• Kelly Russell, MSN,RN,FNP-BC
• Russet Ridge Healthcare LLC
• Deborah J Russo, LCSW
• Taylor Caroline Russo, MS ATC LAT
• Todd Rustad, M.D.
• Cassandra E Rustvold, LCSW

• Occupational Therapy Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.