Brittany Russell, MAT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1074 Issued in KY

Practice address

703 E Main St
Lebanon, KY 40033-8695

Phone

(270) 699-9503

NPI assigned

Jan 24, 2017

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1619414935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 AHLENA WAY",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400699568",
            "telephone_number": "502-649-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400338695",
            "telephone_number": "270-699-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "MAT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Smith,DMD
• Jeffrey Alan Roberts, D.C.
• Kelly Michele Robey
• Thomas Eugene Robey Jr., L.M.T.
• Roderick D Coxon D C P S C (Coxon Chiropractic)
• Chonda Saettel, LCSW
• Brian Fraser Scott, M.D.
• Julia Scott, LPCA
• Edna Elizabeth Seabrooks, LPCC
• Virginia Settles, RBT

• Athletic Trainer in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.