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NPI · 1104665124 · NPPES-sourced

Jaqueese Russell

ActiveCommunity Health Worker
NPI Number
1104665124
Type 1 · Individual
Taxonomy Code
172V00000X
Contact
(510) 899-0128
Primary practice line
Last Updated
About 23 months ago (Jun 2024)
Enumerated 2024-05-20
Primary practice addressCA · 94609-2633
390 40th StOakland, CA 94609-2633
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About this NPIWhat this record shows.

NPI 1104665124 is registered to Jaqueese Russell, a Community Health Worker practising at 390 40th St in Oakland, California. Community Health Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jaqueese Russell has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2024-05-20
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jaqueese Russell accepts. To confirm in-network status with your specific health plan, contact Jaqueese Russell directly at (510) 899-0128.

Frequently asked

Yes. NPI 1104665124 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community Health Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (510) 899-0128.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jaqueese Russell is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy172V00000X
Last updated2024-06
Enumerated2024-05-20
StatusActive
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3 records · same addressOther providers at this location.

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Same specialtyOther Community Health Worker providers in California.

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