Brenda Rose Russell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

146330 Issued in OH

Practice address

3009 Shelly Rd
Ravenna, OH 44266-9415

Phone

(330) 696-3875

NPI assigned

Jan 9, 2012

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1518237494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 SHELLY RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669415",
            "telephone_number": "330-696-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 SHELLY RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669415",
            "telephone_number": "330-696-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRENDA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "146330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Rowlands
• Amanda Rowles
• David N Rubin, MD FACC FASE
• Curtis James Rude, PHARM.D.
• Sarah Abigail Rumsey
• Lauren Russell
• Rachel Russell, OTR/L
• William Russell, PCC
• Briana Michelle Ryan
• Stephanie Ryan, PHARM D.

• Licensed Practical Nurse in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.