Melisa Russell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6267 Issued in SC

Practice address

119 N Congress St
Winnsboro, SC 29180-1118

Phone

(803) 712-3322

NPI assigned

Jan 10, 2019

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

Other names 1

• M Russell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Help Yourself Massage Studio

  • Massage Therapist
  • Winnsboro, SC
  • NPI 1578919627
  NPD (past) Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1851864086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CHATHAM CIR",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291802607",
            "telephone_number": "803-718-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N CONGRESS ST",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291801118",
            "telephone_number": "803-712-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3713 Covenant Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292044217",
            "country_code": "US",
            "telephone_number": "803-718-3609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 Saint Andrews Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632957",
            "country_code": "US",
            "telephone_number": "803-718-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MELISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "6267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M",
            "last_name": "RUSSELL",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Renada Richardson, M.A., CACP-I
• Kannetria Halona Robinson-Davis, FNP
• Kayleigh M Rushford, FNP
• Agnes Macfie Russell
• Jerelyn S Russell
• SC Department of Juvenile Justice
• Mary Ann Seegars, PTA
• Mark Edward Shaffer, MD
• Jacob Winton Shaw, NP
• Donna Denise Shealy, LPN, OTR

• Massage Therapist in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Massage Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.