Active NPI
Nadia T Russell, RRT RCP
- Certified Respiratory Therapist
- Fort Defiance, AZ
National Provider Identifier
1285228320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 43055
- Practice address
- Corner of Routes N12 & N7
Fort Defiance, AZ 86504-8650 - Phone
- (928) 729-8000
- NPI assigned
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 43055 | CA | Primary |
Addresses
Primary practice location
Corner of Routes N12 & N7
Fort Defiance, AZ 86504-8650
Mailing address
2568 W Ranch St Apt 201
Carlsbad, CA 92010-5635
Phone (314) 933-0165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43055 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1285228320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 W RANCH ST APT 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920105635",
"telephone_number": "314-933-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTES N12 & N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865048650",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "NADIA",
"middle_name": "T",
"credential": "RRT RCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": "CA",
"license": "43055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.