1. Home
  2. Directory
  3. Washington
  4. Aberdeen
  5. Pediatrics
  6. NPI Profile

TRACY LYNNE RUSSELL MD
NPI 1629040894
Pediatrics in Aberdeen, WA

Active since February 02, 2006
611 N F ST, STE 201, ABERDEEN, WA 98520(360) 533-7677(360) 533-0470 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Lynne Russell Md NPPES

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

TRACY LYNNE RUSSELL MD (NPI 1629040894) is an individual pediatrics provider in Aberdeen, Washington, licensed in Washington (MD00046873) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1629040894
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTRACY LYNNE RUSSELLCredential: MD
Location Address611 N F ST, STE 201Aberdeen, WA 98520-2667
Mailing Address611 N F St, Ste 201Aberdeen, WA 98520-2667 · (360) 533-7677 · Fax (360) 533-0470
Phone(360) 533-7677
Fax(360) 533-0470
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 19, 2011
✔ NPI 1629040894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00046873
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
611 N F ST, Aberdeen, WA 98520
Open in Google Maps ↗

Other Names 1

Former Name (1)Tracy Lynn Knights M.d,

Other Identifiers 2

Medicaid1123256WA
Medicare UPINP46873WA

Other Providers at the Same Location NPPES 3

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

GRAYS HARBOR PEDIATRICS, PLLC
Pediatrics (Adolescent Medicine)
611 N F ST, SUITE 201
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7677
WEST COAST PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
611 N F ST
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7025
EDGARDO CASTRO MAGSALAY M.D.
Pediatrics
611 N F ST, STE 201
ABERDEEN, WA 98520
Grays Harbor County (360) 533-7677

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 Tracy Russell's NPI number?

The NPI number for Tracy Russell is 1629040894. It was assigned to this individual provider in the NPPES registry on February 2, 2006. The provider is also known as Tracy Lynn Knights M.D,.

Where is Tracy Russell located?

Tracy Russell practices at 611 N F St Ste 201, Aberdeen, WA 98520. The listed phone number is (360) 533-7677.

What is Tracy Russell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Tracy Russell was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.