Mary Helen Russo, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1727 Issued in FL

Practice address

750 N Ocean Blvd
# 602
Pompano Beach, FL 33062-4644

Phone

(615) 345-5400

NPI assigned

May 12, 2010

Last updated

Dec 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1275851404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275780",
            "telephone_number": "615-345-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N OCEAN BLVD",
            "address_2": "# 602",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624644",
            "telephone_number": "615-345-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MARY",
        "middle_name": "HELEN",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "02015",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza Ruiz Junco
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• Caitlyn Elizabeth Russell
• Moreen Russell, CBHT
• Dmitry Rutenberg, DPT
• Ruth Kreis-Orkoulas, Arnp, Pmhnp-BC, LLC
• Rand Rutledge, LPC
• Ilaina Shari Rutsky, PHARM.D
• Rxmed Enterprises LLC

• Audiologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.