Diana Marie Russell, H.H.P

Primary specialty

Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X

License

385759-00 Issued in CA

Practice address

7773 University Ave
La Mesa, CA 91942-4950

Phone

(619) 303-5702

Fax

(619) 825-8742

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1457674095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7773 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424950",
            "telephone_number": "619-303-5702",
            "fax_number": "619-825-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7773 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424950",
            "telephone_number": "619-303-5702",
            "fax_number": "619-825-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "H.H.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "385759-00",
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "CA",
            "license": "385759-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Rubie, RN, IBCLC
• Bram M Rubinstein, BSPHARM
• Jennifer Rubio
• Caden Cole Ruiz
• Graciela Ruiz
• Giavanna Russo
• Cassie Ruth, NMD
• Ryan Hosn OD Family Optometry Inc
• Ella Louise Ryan
• Lissette Ryan, RBT

• Clinical Nurse Specialist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.