Active NPI
Sharon Russell
- Home Health Agency
- Fort Defiance, AZ
National Provider Identifier
1730467580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SHARON RUSSELL
- Doing business as
- Ashinee Home Health
- Practice address
- Route 12 Old Crystal Road on Left
Fort Defiance, AZ 86504 - Phone
- (505) 713-2649
- Fax
- (180) 096-7431
- NPI assigned
- Jul 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Lynn Russell
- Title
- Owner/Human Resources
- Phone
- (505) 713-2649
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
Route 12 Old Crystal Road on Left
Fort Defiance, AZ 86504
Mailing address
Post Office Box 87
Fort Defiance, AZ 86504
Phone (505) 713-2649
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433145 | Medicaid | AZ | |
| 433145 | Other | AZ | AHCCCS PROVIDER |
Other names 1
- Ashinee Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313366400000",
"number": "1730467580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 87",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "505-713-2649",
"fax_number": "180-096-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 12 OLD CRYSTAL ROAD ON LEFT",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "505-713-2649",
"fax_number": "180-096-7431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON RUSSELL",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-28",
"last_updated": "2011-08-15",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/HUMAN RESOURCES",
"authorized_official_telephone_number": "505-713-2649"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433145",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS PROVIDER",
"identifier": "433145",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ashinee Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.