Anne Marie Russell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30536-31 Issued in WI

Practice address

1550 Wildwood Dr
Plain, WI 53577-9644

Phone

(608) 546-9834

NPI assigned

May 7, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2012.

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1124387477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BLUE VIEW DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721802",
            "telephone_number": "608-886-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WILDWOOD DR",
            "city": "PLAIN",
            "state": "WI",
            "postal_code": "535779644",
            "telephone_number": "608-546-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "30536-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Leister
• Plain Ambulance
• Plain Fire Emergency Protection District
• Nicole Ring
• Kristen Roelke, RN
• Danielle L. Russell, R.N.
• Sauk Prairie Healthcare Inc
• Tina Teresa Scallon, RN
• Brianne Louise Schwarz, DDS
• Tiffany R Socknat

• All providers in Plain, WI
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.