Stephaine Russo

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1701 N Green Valley Pkwy Ste 9a
Henderson, NV 89074

Phone

(702) 407-1100

NPI assigned

Jul 11, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassion Crest LLC

  dba Compassion Crest Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1003293937
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1225514417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 S 8TH ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041638",
            "telephone_number": "702-385-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GREEN VALLEY PKWY STE 9A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-407-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891041638",
            "country_code": "US",
            "telephone_number": "702-385-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "STEPHAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Russell, OMD
• Sharon Alene Russell
• Troy D Russell, DC
• Dominique Ashley Russo, RDN, LD
• Kathryn Russo
• Adam Kelsey Russon, DO
• Randy Rutkin, MFT
• Ariane Ashimwe Ruyombyana
• Ryan C. Shipp,DMD,Ms,PC (Shipp Endodontics)
• Ryan E. Mitchell DO PLLC (ENT Specialty Care of Nevade)

• Personal Care Attendant in Henderson, NV
• Providers in Henderson, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.