Jessica Dawn Russell, CH.T, MA, NBC-HWC,

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

300 S Beverly Dr Ste 203
Beverly Hills, CA 90212-4805

Phone

(310) 801-6211

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1326766700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124805",
            "telephone_number": "310-801-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124805",
            "telephone_number": "310-801-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16530 Ventura Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364551",
            "country_code": "US",
            "telephone_number": "310-844-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8217 Beverly Blvd Ste 29",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484535",
            "country_code": "US",
            "telephone_number": "310-844-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "CH.T, MA, NBC-HWC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Enrique Ruiz, MD
• Joe Luis Ruiz, M.D.
• Marilyn Magida Ruman, PHD
• Elizabeth Ruminski, PT, DPT
• Rand Alan Rusher, RN
• Elizabeth Russomanno-Doyle
• Rebekah Dorothy Ruther, NP
• Amy Rutman, MD
• RX Unlimited LLC (Rx Unlimited)
• Ryan a Stanton MD Inc

• Health & Wellness Coach in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.