Bridget Rena Russell, RN, BS

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

2003027751 Issued in MO

Practice address

4000 Jennings Station Rd
Saint Louis, MO 63121-3323

Phone

(314) 679-7916

Fax

(314) 679-7876

NPI assigned

Dec 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104986207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 JENNINGS STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631213323",
            "telephone_number": "314-679-7916",
            "fax_number": "314-679-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JENNINGS STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631213323",
            "telephone_number": "314-679-7916",
            "fax_number": "314-679-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRIDGET",
        "middle_name": "RENA",
        "name_prefix": "Mrs.",
        "credential": "RN, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MO",
            "license": "2003027751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENITIFCATION #",
            "identifier": "103-4879",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Russell
• Amorette D Russell, P.A.
• Audrey A Russell, DC
• Becky Lee Russell, OT
• Blake Russell
• Collin Russell, MD
• Elizabeth Russell
• Elizabeth Russell, OTR/L
• Jim Russell, PH.D.
• Joshua Kendall Russell, MD

• Community Health Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.