Patricia Russell

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA9041 Issued in AZ

Practice address

60 E. Vernon Ave
Arcadia Therapy Services
Phoenix, AZ 85004

Phone

(602) 528-3450

NPI assigned

Dec 30, 2014

Last updated

Dec 31, 2014By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arcadia Therapy Services of Arizona, Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1134119365
  NPD (past)

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1881082790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21642 N 44TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506936",
            "telephone_number": "602-326-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E. VERNON AVE",
            "address_2": "ARCADIA THERAPY SERVICES",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "602-528-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary D. Russell, P.A.-C
• James Craig Russell, M.D.
• Kadeazana Russell
• Kelly Yvette Russell, MD
• Larry Doby Russell, D.D.S.
• Janet M Russenberger, OT
• Daniela Cotrim Russi, M.D.
• Aubriana K Russo, RBT
• Cara Anne Russo, PHARMD, RPH
• Susan Marie Russo, BSN, RNC

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.