Jason Thomas Russell

Primary specialty

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

Practice address

847 Monroe Ave
Suite 226
Memphis, TN 38103-4901

Phone

(901) 448-6036

Fax

(901) 448-7053

NPI assigned

Aug 21, 2011

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1619257763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 ANDREWS RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381353001",
            "telephone_number": "901-491-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 MONROE AVE",
            "address_2": "SUITE 226",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034901",
            "telephone_number": "901-448-6036",
            "fax_number": "901-448-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "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": []
}

• Russell H. Patterson III, MD
• Amanda Leigh Russell, LPC-MHSP
• Danyell Russell
• Delvin Russell, PHARMD
• Haley Russell, APRN
• Jonbrighton Childs Russell, DMD
• Kathryn Nikole Russell, FNP-BC
• Laura Kathryn Russell, CRNA
• Tamika D Russell, PHARM.D
• Russell'S Pharmacy, Inc

• Student in an Organized Health Care Education/Training Program in Memphis, TN
• Providers in Memphis, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; 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.