Colleen Henderson Russell, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000737 Issued in NC

Practice address

1238 Huffman Mill Rd
Burlington, NC 27215-8700

Phone

(336) 538-8173

Fax

(336) 538-8033

NPI assigned

May 11, 2009

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

Other names 1

• Colleen Russell Other name

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1427282003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 HUFFMAN MILL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-538-8173",
            "fax_number": "336-538-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 HUFFMAN MILL RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-538-8173",
            "fax_number": "336-538-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "COLLEEN",
        "middle_name": "HENDERSON",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "RUSSELL",
            "credential": "RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Starnes Rouse, MS, RD, LDN
• Debra Royster
• Kourtney Jevon Royster
• Jessica Anna Rubio, FNP
• Lyndee Ruddell
• James Scott Russell, MPT
• Steven Michael Russo, D.O.
• Britton Lee Rust-Chester, AGACNP-BC
• Lourdesee Ruth, NP
• Whitney Kay Rutter, MS

• Registered Dietitian in Burlington, NC
• Providers in Burlington, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.