Breanne Maray Sande Russell, PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4400 W 69TH St
Sioux Falls, SD 57108-8170

Phone

(605) 322-4005

NPI assigned

Aug 26, 2026

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1508773243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 EDGCUMBE RD APT 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052832",
            "telephone_number": "651-890-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088170",
            "telephone_number": "605-322-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDE RUSSELL",
        "first_name": "BREANNE",
        "middle_name": "MARAY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Sandal
• Sandbulte Inc
• Sandbulte LLC
• Baylee Sandbulte
• Shelley Lynn Sandbulte, EDD
• Davida Nicole Sheree Sande Russell, LGSW,CSW
• Ashley Renee Sandeen, D.O.
• Malcom S Sanders, MD
• Morgan Joy Sandersfeld
• Divyajot Singh Sandhu, M.D.

• Student in an Organized Health Care Education/Training Program in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Student in an Organized Health Care Education/Training Program in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.