Active NPI
Rachelle Russell
- Phlebotomy Technician
- Madison, IL
National Provider Identifier
1699148163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1915 Rhodes St
Madison, IL 62060-1355 - Phone
- (618) 402-6818
- NPI assigned
- Nov 5, 2015
- Last updated
- Sep 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Medical Laboratory Technician | 246RM2200X | |||
| Phlebotomy Technician | 246RP1900X | Primary |
Addresses
Primary practice location
1915 Rhodes St
Madison, IL 62060-1355
Mailing address
PO Box 25
Madison, IL 62060-0025
Phone (618) 402-6818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Laboratory Services, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Austin, TX
- NPI 1679241418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1699148163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "MADISON",
"state": "IL",
"postal_code": "620600025",
"telephone_number": "618-402-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 RHODES ST",
"city": "MADISON",
"state": "IL",
"postal_code": "620601355",
"telephone_number": "618-402-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "RACHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, IL
- Audrey Faulstich, DNP, APRN, PMHNP-BC
- Granite City Clinic Corp
- Jason F. Kesselring, MD
- Madison County Urban League
- Real RN Recruiter (Wellness Psychiatry)
- Southern Illinois Healthcare Foundation, Inc. (Madison Health Center)
- Southern Illinois Healthcare Foundation, Inc. (Sihf Madison Recovery Facility)
- Southern Illinois Healthcare Foundation, Inc. (Sihf Madison Resolution Faclty)
- Stay at Home Health Care Inc
- Renee M Titley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.