Dawn Renee' Russell, ARNP, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

3310 Issued in SC

Practice address

10706 Clemson Blvd
Seneca, SC 29678-4528

Phone

(864) 888-3020

Fax

(864) 888-8585

NPI assigned

Sep 20, 2007

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

Other names 1

• Dawn Renee' Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drussell7996@direct.anmedhealth.net

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

• Anmed Health

  dba AnMed Gastroenterology

  • Gastroenterology Physician
  • Anderson, SC
  • NPI 1861761090
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1730375031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784528",
            "telephone_number": "864-888-3020",
            "fax_number": "864-888-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784528",
            "telephone_number": "864-888-3020",
            "fax_number": "864-888-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DAWN",
        "middle_name": "RENEE'",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WILSON",
            "middle_name": "RENEE'",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Roseman, MD
• Daniel John Rosino, LPC, CAC
• Kendon Ross, D.D.S.
• Randall Mac Royal, M.D.
• Lisa A Ruohoniemi, MD
• Robert David Russell Jr., LPC
• Lisa Anne Ryan
• S K Rogers DMD PA
• Amy Safrit, FNP
• Salem Medical Practice Management Inc

• Pediatric Nurse Practitioner in Seneca, SC
• Providers in Seneca, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.