ANDREA RUSSELL
NPI 1104769520
Community/Behavioral Health in Rigby, ID
NPI Status: Active since April 10, 2026
Contact Information
1200 JAYLEE DR UNIT 1
RIGBY, ID
ZIP 83442
Phone: (208) 419-9383
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Community/Behavioral Health
About ANDREA RUSSELL
This page provides the complete NPI Profile along with additional information for Andrea Russell, a provider established in Rigby, Idaho operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104769520 assigned on April 2026. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Andrea Russell (Intervention Professional)
- NPI
- 1104769520
- Provider Name
- ANDREA RUSSELL
- Entity Type
- Organization
- Location Address
- 1200 JAYLEE DR UNIT 1 RIGBY, ID 83442
- Location Phone
- (208) 419-9383
- Mailing Address
- 1200 JAYLEE DR UNIT 1 RIGBY, ID 83442
- Mailing Phone
- (208) 419-9383
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2026
- Last Update Date
- 05-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104769520, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104769520, enumerated as an "organization" on April 10, 2026.
The provider is located at 1200 JAYLEE DR UNIT 1 RIGBY, ID 83442 and the phone number is (208) 419-9383.
Community/Behavioral Health with taxonomy code 251S00000X.
