Tammy Lee Russell, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

833 Issued in OR

Practice address

1820 SW Vermont St Ste F
Portland, OR 97219-1945

Phone

(503) 313-6778

NPI assigned

Oct 4, 2007

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Randee Anshutz Nutrition and Massage Therapy

  dba Synergy Health and Wellness

  • Health Service Clinic/Center
  • Bend, OR
  • NPI 1790020196
  Medicare reassignment NPD
• Integrated Medicine Group LLC

  • General Practice Physician
  • Portland, OR
  • NPI 1679508212
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1073701058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "503-313-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST STE F",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "503-313-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 NE 102nd Ave Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972204169",
            "country_code": "US",
            "telephone_number": "503-257-3326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Russell, FNP
• Melissa Russell
• Nicole S Russell, BSW
• Scarlett Russell, RN/QMHP-R
• Stephanie Russell, LMT
• Russellville III LLC (Russellville Park)
• Kristin Russio
• Barry Sheldon Russman, MD
• Andrea Russo, CRM
• Diana Marie Russo

• Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.