Active NPI
Russell Rehabilitation Services LLC
- Hearing and Speech Clinic/Center
- Big Rapids, MI
National Provider Identifier
1033718457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- RUSSELL REHABILITATION SERVICES LLC
- Practice address
- 598 W Madison St
Big Rapids, MI 49307-9756 - Phone
- (616) 894-5844
- NPI assigned
- Oct 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erynne Louise Russell, MA CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (616) 202-1972
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
598 W Madison St
Big Rapids, MI 49307-9756
Mailing address
598 W Madison St
Big Rapids, MI 49307-9756
Phone (616) 894-5844
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Traverse City, MI
- NPI 1265054936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1033718457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 W MADISON ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079756",
"telephone_number": "616-894-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 W MADISON ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493079756",
"telephone_number": "616-894-5844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "ERYNNE",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "616-202-1972",
"authorized_official_credential": "MA CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.