Dianne Russell, RMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT.0015078 Issued in CO

Practice address

3938 JFK Pkwy
Suite F11
Fort Collins, CO 80525

Phone

(970) 204-0516

Fax

(970) 204-6812

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By the provider in NPPES

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1538586722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 JFK PARKWAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 JFK PKWY",
            "address_2": "SUITE F11",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-204-0516",
            "fax_number": "970-204-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DIANNE",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "MT.0015078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Rushton, CCC-SLP
• Marykate Rusnak, D.D.S.
• Michael P Rusnak, MD
• Russell Family Clinic, LLC
• Charles Edward Russell, MA, LPC
• Joshua Russell, D.C.
• Matthew Russell, MA, LPCC
• Natasha Russell
• Savannah Russell, L.AC.
• Emily Elizabeth Russo

• Specialist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.