KIMBERLY ANN RUSSELL B.S
NPI 1003939943
Case Manager/Care Coordinator in Mcminnville, OR

Q: What is Kimberly Russell's NPI number?

The NPI number for Kimberly Russell is 1003939943. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Q: What is Kimberly Russell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Russell was last updated on December 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2007

617 NE DAVIS ST, MCMINNVILLE, OR 97128(503) 472-4020 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Ann Russell B.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN RUSSELL B.S (NPI 1003939943) is an individual case manager/care coordinator provider in Mcminnville, Oregon and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1003939943

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKIMBERLY ANN RUSSELLCredential: B.S

Location Address617 NE DAVIS STMcminnville, OR 97128-4716

Mailing Address1312 Westbrook Dr NwSalem, OR 97304-2955 · (503) 510-3768

Phone(503) 472-4020

Sole ProprietorYes

Enumeration DateApril 7, 2007

Last NPPES UpdateDecember 3, 2014

✔ NPI 1003939943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedSocial WorkerTaxonomy 104100000X

617 NE DAVIS ST, Mcminnville, OR 97128

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Other Identifiers 1

Medicaid50067381OR

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN SUSAN JOHNSON

Counselor (Mental Health)