Hannah Russell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

9693650 Issued in MA

Practice address

1115 W Chestnut St
Brockton, MA 02301-7501

Phone

(508) 559-0473

NPI assigned

Dec 28, 2017

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

Other identifiers 1

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1427564475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 WALNUT ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023512622",
            "telephone_number": "781-336-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W CHESTNUT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017501",
            "telephone_number": "508-559-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "9693650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CDW960531941",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Efrain S Ruiz, D.M.D.
• Vernice Jadine Brodit Ruiz, M.ED.
• Vida Mia Ruiz, CNM
• Debra Rushton-Ellis, PAC
• Brenda Nunes Ruskey, NP
• Kimberly Russell, MD
• Andrea Russo
• Kristina Lea Russo, M.A. L.M.H.C.
• Nancey T Russo, DO
• Joanna Ryan Laidley

• Community/Behavioral Health Agency in Brockton, MA
• Providers in Brockton, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.