Judith G Russell, THERAPIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

RC 00044340 Issued in WA

Practice address

6313 NE 109TH St
Vancouver, WA 98686-4631

Phone

(360) 718-7119

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1144472135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 NE 109TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864631",
            "telephone_number": "360-718-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 NE 109TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864631",
            "telephone_number": "360-718-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JUDITH",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "RC00044340",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "RC 00044340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED COUNSELOR",
            "identifier": "RC 00044340",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell C. Freeland, Edd, PS
• Chrissie Collette Russell-Wilson, ARNP
• Camryn Diane Russell
• Charity Deneise Russell, LPN
• Erin Russell, OTR/L
• Lindsey N Russett, LMHC, CMHS
• Samuel Edward Russett
• Alexandria Russi, PA
• Scott Andrew Russi, M.D.
• Serena Lynn Russum, ND

• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.