Bridget Anne Russell, PHD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008132-00 Issued in NY

Practice address

W132 Thompson Hall
Suny Fredonia
Fredonia, NY 14063

Phone

(716) 673-4616

Fax

(716) 673-3235

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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.

• State of New York Comptrollers Office

  • Audiologist
  • Fredonia, NY
  • NPI 1508079567

  Speech-Language Pathologist

  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992843320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NEWTON ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631303",
            "telephone_number": "716-673-4616",
            "fax_number": "716-673-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W132 THOMPSON HALL",
            "address_2": "SUNY FREDONIA",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "14063",
            "telephone_number": "716-673-4616",
            "fax_number": "716-673-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRIDGET",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008132-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald R. Johnson
• Brittany Diana Rosenow, COTA
• Danielle S Ross, PMH DNP
• Mary Rudloff, PA-C
• Russell J Dipalma DDS PC
• Jillian D. Ryan, OTR
• Tracey Sakpal
• Irene Victoria Salek-Raham, MS.LIC/CCC
• Warren P. Sanderson, RN
• Bryce Henry Schnaars, DPT

• All providers in Fredonia, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.