Lori Younger Russell, CERT. HAIR LOSS SPEC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1204018222 Issued in VA

Practice address

6133 Backlick Rd
Springfield, VA 22150-2637

Phone

(571) 230-6302

NPI assigned

Dec 6, 2016

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

Practice roles

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.

• Younger Salon Inc.

  • Oxygen Equipment & Supplies (DME)
  • Springfield, VA
  • NPI 1669166500
  NPD Authorized official
• Younger Salon Inc.

  • Prosthetic/Orthotic Supplier
  • Springfield, VA
  • NPI 1790479640
  NPD Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1629512835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 HYDEN PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914435",
            "telephone_number": "571-230-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502637",
            "telephone_number": "571-230-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LORI",
        "middle_name": "YOUNGER",
        "credential": "CERT. HAIR LOSS SPEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "1204018222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Ruggery
• Victoria Rulapaugh
• Lauryn Rumisek
• Alina Russell, PT
• Angela S. Russell, LGSW
• William Russell, R.PH.
• Mark Anthony Rutkowski, LCSW
• Kevin A Ryan, DDS
• Fahad Saad
• Maryam Saba, D.D.S.

• Prosthetics Case Management in Springfield, VA
• Providers in Springfield, VA by specialty
• Prosthetics Case Management in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.