Individual provider Active NPI

Juanita Russell, SCHOOL NURSE

  • Licensed Vocational Nurse
  • Cincinnati, OH
National Provider Identifier
1740726298
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
PN106463 Issued in OH
Practice address
73 Junefield Ave
Cincinnati, OH 45218-1229
Phone
(513) 619-2390
Fax
(513) 619-2398
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X PN106463 OH Primary

Addresses

Primary practice location

73 Junefield Ave
Cincinnati, OH 45218-1229

Mailing address

73 Junefield Ave
Cincinnati, OH 45218-1229
Phone (513) 619-2390

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

State licenses

LicenseStateTypeSpecialty
PN106463OHMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1740726298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 JUNEFIELD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452181229",
            "telephone_number": "513-619-2390",
            "fax_number": "513-619-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 JUNEFIELD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452181229",
            "telephone_number": "513-619-2390",
            "fax_number": "513-619-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "SCHOOL NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "PN106463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.