Jameson Parker Russell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1313 Dickerson Dr SE Apt D
Albuquerque, NM 87106-3344

Phone

(865) 226-9693

NPI assigned

Jan 14, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1467103085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DICKERSON DR SE APT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063344",
            "telephone_number": "865-226-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DICKERSON DR SE APT D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063344",
            "telephone_number": "865-226-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMESON",
        "middle_name": "PARKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Russell
• Ashley Russell
• Ava Russell
• Carl Lee Russell, M.A. DMIN
• Debra P. Russell, R. N.
• Jillian Russell
• John Russell
• Julie Russell
• Julie Laine Russell, OTR/L
• Richard Russell

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.