Kendra Russell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703100039 Issued in MI

Practice address

265 N Michigan Ave
Coldwater, MI 49036-1528

Phone

(517) 278-5933

NPI assigned

Aug 24, 2016

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

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1508311069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N MICHIGAN AVE.",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-5933",
            "fax_number": "517-279-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N MICHIGAN AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361528",
            "telephone_number": "517-278-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KENDRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703100039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Jill Rubin, OTR
• Kenneth Martin Rubin, NP
• G David Rubley, DDS
• Larry Gene Rumsey
• Jeffrey S Russell, D.O.
• Madison Elizabeth Rutz
• RX Optical Laboratories, Inc.
• Malorie Olivia Rzepka
• Mohamad Saab
• Jennifer Sackrider

• Licensed Practical Nurse in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.