Jean Russell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN0000033906 Issued in TN

Practice address

919 E Central Ave
Scott County Hospital
La Follette, TN 37766-2777

Phone

(423) 907-1553

Fax

(865) 777-0910

NPI assigned

Aug 31, 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

Other names 1

• Elizabeth Jean Russell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Multispecialty Medical P.C.

  • Internal Medicine Physician
  • Tazewell, TN
  • NPI 1548392491
  NPD (past)
• Trail of the Cumberlands Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Tazewell, TN
  • NPI 1700892429

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1225140320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COX HOLLOW RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633150",
            "telephone_number": "423-349-4314",
            "fax_number": "423-349-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E CENTRAL AVE",
            "address_2": "SCOTT COUNTY HOSPITAL",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662777",
            "telephone_number": "423-907-1553",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000033906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3608552",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RUSSELL",
            "middle_name": "JEAN",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristine Michelle Rodriguez, DNP, ARNP, FNP-BC
• Kimberly Jean Rose, P.A.
• Bethany Runions, FNP-C
• Kerry Rupe
• Deborah Lynn Russell, BSN, MSN, FNP
• Kenneth Michael Sanders, PA-C
• Kimberly Jayne Schmieder, PTA
• Lee Seargeant III, PHARMACIST
• Curtis Cecil Sexton, MD
• James F.Ranklin Shaw, DMD

• Certified Registered Nurse Anesthetist in La Follette, TN
• Providers in La Follette, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.