Megzie Yvonne Russell

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

6905982 Issued in FL

Practice address

1902 E 6TH St
Lehigh Acres, FL 33936-1006

Phone

(239) 368-9538

Fax

(239) 368-1472

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1669634655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 E 6TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361006",
            "telephone_number": "239-368-9538",
            "fax_number": "239-368-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 E 6TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339361006",
            "telephone_number": "239-368-9538",
            "fax_number": "239-368-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MEGZIE",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "6905982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142739300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marelis Ruiz Laureiro
• Alondra Ruiz Rodriguez
• Axel Ruiz-Tellez, MD
• Yeney Ruiz, LCSW
• Danielle Lashawn Russell, APRN
• RX 2 You Inc
• Sean D Ryan, PA-C
• Ralph S Ryback, MD LP
• Mildrey Saavedra, RBT-22-232459
• Safe Care Med Services, LLC

• Home Modifications Contractor in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.