Active NPI
Timi Renee Russell, CSFA, LSA
- Surgical Assistant
- Houston, TX
National Provider Identifier
1497010151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 14826 Beechmoor Dr
Houston, TX 77095-3304 - Phone
- (713) 705-7953
- Fax
- (832) 478-9266
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
14826 Beechmoor Dr
Houston, TX 77095-3304
Mailing address
14826 Beechmoor Dr
Houston, TX 77095-3304
Phone (713) 705-7953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA00720 | Other | TX | TEXAS MEDICAL BOARD |
| 135207 | Other | NATIONAL BOARD OF SURGICAL TECHNOLOGIST AND SURGICAL ASSISTANTS |
Other names 1
- Ms. Timi Russell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Assisting | Surgical Assistant | Past | Accepting new patients |
| Trex Assisting Services Incorporated | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Katy, TX
- NPI 1114305794
-
- Surgical Assistant
- Houston, TX
- NPI 1255890307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1497010151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14826 BEECHMOOR DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770953304",
"telephone_number": "713-705-7953",
"fax_number": "832-478-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14826 BEECHMOOR DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770953304",
"telephone_number": "713-705-7953",
"fax_number": "832-478-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "TIMI",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "CSFA, LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "SA00720",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF SURGICAL TECHNOLOGIST AND SURGICAL ASSISTANTS",
"identifier": "135207",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIMI",
"last_name": "RUSSELL",
"prefix": "MS.",
"credential": "LSA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.