Teresa Russell

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1973 Issued in TN

Practice address

9430 Park West Blvd Ste 335
Knoxville, TN 37923-4206

Phone

(865) 693-6065

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

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

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Ear, Nose and Throat Consultants, PCGroup PAC ID 5092763532, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tennessee Ear, Nose & Throat Consultants, PC

  • Otolaryngology Physician
  • Knoxville, TN
  • NPI 1255352266

  Audiologist

  Medicare reassignment Care Compare group NPD
• Allergy Associates, P.a.

  dba The Allergy, Asthma & Sinus Center

  • Specialist
  • Knoxville, TN
  • NPI 1073508347
  NPD (past)
• Otolaryngology Center of East Tennessee PC

  • Otolaryngology Physician
  • Maryville, TN
  • NPI 1639197593
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1669123485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234206",
            "telephone_number": "865-693-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234206",
            "telephone_number": "865-693-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Russell
• Maiya N Russell, RBT
• Mark Russell, PHARMD
• Sharla Denese Russell
• Stephen A Russell, M.D.
• Blake S Rust, O. D.
• Robert Andrew Rust, MA, NCC, MFTI
• Alex Ruth, M.D.
• Brian Eugene Ruth
• Jessica Lynn Ruth

• Audiologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.