ANTOINETTE RUSSELL
NPI 1457743916
Emergency Medical Technician, Paramedic in Lakeside, AZ

Q: What is Antoinette Russell's NPI number?

The NPI number for Antoinette Russell is 1457743916. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Q: What is Antoinette Russell's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

Active since February 20, 2015

2922 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929(928) 368-6112(928) 368-5643 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Antoinette Russell NPPES

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

ANTOINETTE RUSSELL (NPI 1457743916) is an individual emergency medical technician, paramedic in Lakeside, Arizona, licensed in Arizona (111) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1457743916

Entity TypeIndividualFemale

Primary Taxonomy146L00000X

Provider Legal NameANTOINETTE RUSSELL

Location Address2922 W WHITE MOUNTAIN BLVDLakeside, AZ 85929-6152

Mailing Address2922 W White Mountain BlvdLakeside, AZ 85929-6152 · (928) 368-6112 · Fax (928) 368-5643

Phone(928) 368-6112

Fax(928) 368-5643

Sole ProprietorYes

Enumeration DateFebruary 20, 2015

✔ NPI 1457743916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers

Taxonomy Code146L00000X

License✔ Licensed in AZ · 111

Definition

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 111 (AZ)

2922 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929

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Other Providers at the Same Location NPPES 2

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

TIMBER MESA FIRE AND MEDICAL DISTRICT

Ambulance (Land Transport)

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929

Navajo County (928) 537-5100

LAKESIDE VOLUNTEER FIRE DEPARTMENT

Ambulance

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929

Navajo County (928) 368-6112

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 Antoinette Russell's NPI number?

The NPI number for Antoinette Russell is 1457743916. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Antoinette Russell located?

Antoinette Russell practices at 2922 W White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (928) 368-6112.

What is Antoinette Russell's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Antoinette Russell was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.