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RYAN RUSSELL
NPI 1013602788
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since April 10, 2023
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 521-8260(479) 444-7820 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Russell NPPES

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

RYAN RUSSELL (NPI 1013602788) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1013602788
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN RUSSELL
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address1125 N College AveFayetteville, AR 72703-1908 · (479) 521-8260 · Fax (479) 444-7820
Phone(479) 521-8260
Fax(479) 444-7820
Sole ProprietorNo
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
✔ NPI 1013602788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1125 N COLLEGE AVE, Fayetteville, AR 72703
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Other Providers at the Same Location NPPES 20

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

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
KELVIN VANN
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
MS. HEATHER KRISTINE VAUGHN PT
Physical Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Russell's NPI number?

The NPI number for Ryan Russell is 1013602788. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Ryan Russell located?

Ryan Russell practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 521-8260.

What is Ryan Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ryan Russell was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.