Active NPI
Jamie Lynn Russell, D.C.
- Chiropractor
- Belton, TX
National Provider Identifier
1720401870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12902
- Practice address
- 6001 State Highway 317
B
Belton, TX 76513-5464 - Phone
- (918) 284-6184
- NPI assigned
- Jan 27, 2014
- Last updated
- Apr 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12902 | TX | Primary |
Addresses
Primary practice location
6001 State Highway 317
B
Belton, TX 76513-5464
Mailing address
8332 Saddle Brook Dr Unit B
Temple, TX 76502-5654
Phone (918) 284-6184
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12902 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1720401870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8332 SADDLE BROOK DR UNIT B",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765025654",
"telephone_number": "918-284-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 STATE HIGHWAY 317",
"address_2": "B",
"city": "BELTON",
"state": "TX",
"postal_code": "765135464",
"telephone_number": "918-284-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.