La' Shandra Holmes-Russell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008569 Issued in VA

Practice address

15 Elm St
Stafford, VA 22554-1607

Phone

(401) 326-4739

NPI assigned

Mar 26, 2020

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 and National Provider Directory roles.

• Occupational Transitions, LLC

  • Occupational Therapist
  • Stafford, VA
  • NPI 1174139497
  NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1962039131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ELM ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541607",
            "telephone_number": "401-326-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ELM ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541607",
            "telephone_number": "401-326-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES-RUSSELL",
        "first_name": "LA' SHANDRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hole in One, Inc.
• Holistic Psychiatry and Medical Center LLC
• Brittany Rena Holland
• Marilyn Holland, LMFT
• Sonya Denise Holland, D.O.
• Jeffrey Christopher Holmes II
• Alyson Marie Holt, OTD, OTR/L
• Brenda Ochoa Homza
• Madison Leigh Hood
• Amanda Hop

• Occupational Therapist in Stafford, VA
• Providers in Stafford, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.