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SHAWNTERRA MARIE RUSSELL
NPI 1063263416
Peer Specialist in Cleveland, OH

Active since April 01, 2024
12608 GRIMSBY AVE, CLEVELAND, OH 44135(330) 490-9395 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Sep 11, 2025, Apr 1, 2024 (3 updates tracked since 2024).

About Shawnterra Marie Russell NPPES

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

SHAWNTERRA MARIE RUSSELL (NPI 1063263416) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (APS.006787) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1063263416
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSHAWNTERRA MARIE RUSSELL
Location Address12608 GRIMSBY AVECleveland, OH 44135-4850
Mailing Address12608 Grimsby AveCleveland, OH 44135-4850 · (216) 780-0251
Phone(330) 490-9395
Sole ProprietorYes
Enumeration DateApril 1, 2024
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1063263416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.006787
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedAdult CompanionTaxonomy 372600000X
12608 GRIMSBY AVE, Cleveland, OH 44135
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Other Providers at the Same Location NPPES

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

DESHAWN D HESTER
Peer Specialist
12608 GRIMSBY AVE
CLEVELAND, OH 44135
Cuyahoga County (216) 956-2365

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 Shawnterra Russell's NPI number?

The NPI number for Shawnterra Russell is 1063263416. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Shawnterra Russell located?

Shawnterra Russell practices at 12608 Grimsby Ave, Cleveland, OH 44135. The listed phone number is (330) 490-9395.

What is Shawnterra Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shawnterra Russell was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.