Individual provider Active NPI

Julie Marie Russell, DIETITIAN

  • Nutrition Education Nutritionist
  • Lima, OH
National Provider Identifier
1609923085
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
5137 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 225-7301
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 5137 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

PO Box 951999
Cleveland, OH 44193-0021
Phone (419) 227-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001542 OH Practitioner - Registered Dietitian Or Nutrition Professional 6608992672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians

Practice addresses (Care Compare)

1900 S Main St
Findlay, OH 45840-1214

3401 Wellness Way
Suite A3
Findlay, OH 45840-9547
Phone (419) 429-6473

3411 Wellness Way
Suite B1
Findlay, OH 45840-9547
Phone (419) 423-5466

Merit-based Incentive Payment System (MIPS)

Final score
71.66 of 100Reported as group
Quality
52.4
Promoting interoperability
84
Improvement activities
40
Cost
66.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center CurrentSince Jul 6, 2010 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 6, 2010 Accepting new patients
Specialty Physicians of Blanchard Valley LLC CurrentSince Oct 22, 2018 Accepting new patients

Locations

3411 Wellness Way
Ste B1
Findlay, OH 45840
Phone (419) 423-5344

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1609923085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951999",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930021",
            "telephone_number": "419-227-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-225-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OH",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.