Allysa Russell, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4205 Issued in TN

Practice address

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331

Phone

(865) 264-2400

Fax

(865) 588-6406

NPI assigned

Oct 6, 2023

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1376324335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALLYSA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "4205",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "4205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie T. Rush
• Stephanie L. Russ-Barber, MD
• Andrew J. Russ, M.D.
• Caroline Russe, LCSW
• Lauren Alexis Russell-Moore, B.S.
• Andrew Russell, LPC
• Anne Elise Russell
• Ashley Russell, DMD
• Buffy Tenille Russell
• Carabeth West Russell, M.D.

• Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.