FATIA A RUSSELL
NPI 1356843379
Prosthetist in Fayetteville, NC

Q: What is Fatia Russell's NPI number?

The NPI number for Fatia Russell is 1356843379. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Fatia Russell's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Fatia Russell was last updated on August 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since March 06, 2018

6245 LAKEHAVEN DR, FAYETTEVILLE, NC 28304(910) 479-6214 Get Directions Write a Review

NPPES record last updated: August 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2019, Mar 6, 2018 (2 updates tracked since 2018).

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About Fatia A Russell NPPES

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

FATIA A RUSSELL (NPI 1356843379) is an individual prosthetist provider in Fayetteville, North Carolina, licensed in North Carolina (108796) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1356843379

Entity TypeIndividualFemale

Primary Taxonomy224P00000X

Provider Legal NameFATIA A RUSSELL

Location Address6245 LAKEHAVEN DRFayetteville, NC 28304-0610

Mailing Address6245 Lakehaven DrFayetteville, NC 28304-0610 · (910) 479-6214

Phone(910) 479-6214

Sole ProprietorYes

Enumeration DateMarch 6, 2018

Last NPPES UpdateAugust 31, 20192 updates tracked since enumeration

✔ NPI 1356843379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in NC · 108796

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

6245 LAKEHAVEN DR, Fayetteville, NC 28304

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Other Identifiers 1

Medicaid108796NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Fatia Russell's NPI number?

The NPI number for Fatia Russell is 1356843379. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Where is Fatia Russell located?

Fatia Russell practices at 6245 Lakehaven Dr, Fayetteville, NC 28304. The listed phone number is (910) 479-6214.

What is Fatia Russell's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Fatia Russell was last updated on August 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.