Christy Marie Russell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61325552 Issued in WA

Practice address

908 5TH Ave SE
Olympia, WA 98501-1507

Phone

(360) 878-4809

NPI assigned

Nov 18, 2020

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

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1154924579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 V ST SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015347",
            "telephone_number": "360-995-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 5TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011507",
            "telephone_number": "360-878-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61325552",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Rumsey, MSW, MHP, LICSW
• Claire Elizabeth Runge, SLP
• Christopher Lee Runion, LMP
• Rebecca A Russel, ARNP
• Russell and Bode DDS PLLC
• Deborah Leigh Russell, MS, LMHC, MHP
• Jessica Russell, LPN
• Jolene R Russell, BA LMP
• Matthew Richard Russell, M.D.
• Robert D Russell, M.D.

• Peer Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.