Colleen Henderson Russell, RD
Dietitian, Registered in Burlington, NC. Individual provider (NPI-1).
NPI number1427282003
StatusActive
Last updated in NPPESMay 13, 2009
Details
- NPI
- 1427282003
- Entity type
- Individual (NPI-1)
- Name
- Colleen Henderson Russell
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2009
- Last updated
- May 13, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L000737 | NC | Yes |
Other names
- Colleen Russell (Other Name)
Practice location
1238 Huffman Mill RdBurlington, NC 27215-8700
Phone 336-538-8173 · Fax 336-538-8033
Mailing address
1238 Huffman Mill RdBurlington, NC 27215-8700
Phone 336-538-8173 · Fax 336-538-8033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Registered Dietitian providers in Burlington · All 2,344 providers in Burlington
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