Shanelle Russell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2526 Pennsylvania Ave SE Ste C
Washington, DC 20020-6729

Phone

(202) 748-5641

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Family Wellness Center, Inc

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1609141704
  NPD
• The Family Wellness Center, Inc

  • Case Management Agency
  • Washington, DC
  • NPI 1437534740
  NPD (past)

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1700687373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 NAYLOR RD SE APT 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206881",
            "telephone_number": "202-938-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 PENNSYLVANIA AVE SE STE C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206729",
            "telephone_number": "202-748-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Russell, RN, BSN, IBCLC
• Oliver Russell, LCSW-C
• Phillip Russell
• Sanaa Russell
• Saqueita Russell, LPC
• Wyna Russell
• Peter Russem, PH.D.
• Mark Russo, M.D.
• Paula Russo, D.D.S., M.S.
• Kristen L Russomanno, MD

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.