Lacey Russell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2100 Stella Court
Columbus, OH 43215

Phone

(614) 252-8402

NPI assigned

Jun 16, 2023

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

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.

• Alvis Inc

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1225564461
  NPD
• Alvis Inc

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1386993350
  NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1093490260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STELLA CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151011",
            "telephone_number": "614-252-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STELLA COURT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-252-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Regina Russell
• Kavita Russell
• Kelsey Russell, RDN, LD
• Kenneth Clyde Russell Jr., CDCA
• Kevin Russell
• Lindsay Erin Russell, CPNP
• Madison N. Russell, SLP
• Marcus Eugene Russell, FNP-C
• Mary Elaine Russell, DPT
• McKenna J Russell

• Behavior Technician in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.