BRITTANY RUSSELL LMT, NPI 1851882690 — ANCHORAGE (AK)

NPI 1851882690

1+ Years Experience Individual

BRITTANY RUSSELL LMT

05/29/2018
PROVIDER ENUMERATION DATE
05/29/2018
LAST UPDATE DATE
1851882690
NPI NUMBER

About BRITTANY RUSSELL

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

BRITTANY RUSSELL is a provider established in ANCHORAGE, AK. The NPI number of BRITTANY RUSSELL is 1851882690 and was assigned on 05/29/2018. The practitioners primary taxonomy code is: 225700000X AK .

Mailing address

  • City: ANCHORAGE
  • State: AK
  • Postal code: 995014950
  • Address: 935 W 14TH AVE

Primary Practice Address

  • Region : ANCHORAGE, AK
  • NPI : 1851882690
  • Phone : 9072790135
  • Postalcode : 995032336
  • Address : 2636 SPENARD RD

Provider taxonomy - Massage Therapist

  • Taxonomy code: 225700000X
  • License state: AK

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Contacts:

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  • BRITTANY RUSSELL LMT
  • Address : 2636 SPENARD RD
  • Region : ANCHORAGE, AK
  • NPI : 1851882690
  • Phone : 9072790135
  • Postalcode : 995032336

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address2636 SPENARD RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameANCHORAGE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAK
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code995032336
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9072790135
The telephone number associated with the location address of the provider being identified.
NPI1851882690
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1225700000X
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Provider Enumeration Date05/29/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/29/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)BRITTANY RUSSELL
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address935 W 14TH AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameANCHORAGE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAK
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code995014950
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Healthcare Provider Taxonomy Code #1225700000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Massage Therapist
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Provider License Number State Code 1AK
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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