Active NPI
Devin Irene Russell
- Behavior Analyst
- Chesapeake, VA
National Provider Identifier
1871123448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133002506
- Practice address
- 1409 Kempsville Rd
Chesapeake, VA 23320-8134 - Phone
- (757) 416-5290
- NPI assigned
- Jan 22, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133002506 | VA | Primary |
| Behavior Technician | 106S00000X | RBT-19-96593 | VA |
Addresses
Primary practice location
1409 Kempsville Rd
Chesapeake, VA 23320-8134
Mailing address
1409 Kempsville Rd
Chesapeake, VA 23320-8134
Phone (757) 416-5290
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133002506 | VA | MD | Behavioral Analyst |
| RBT-19-96593 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1871123448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 KEMPSVILLE RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208134",
"telephone_number": "757-416-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KEMPSVILLE RD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233208134",
"telephone_number": "757-416-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DEVIN",
"middle_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002506",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-19-96593",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.