Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982293577 Individual Practitioner Male Practitioner

Cody Russell

Licensed Practical Nurse • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Cody Russell is a registered healthcare professional specializing in Licensed Practical Nurse in Maumee, OH. Practice services are available at 1757 INDIAN WOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1757 Indian Wood Cir

Maumee, OH 435374009

Telephone 8336929134
Associated Practice Facility / Clinic
🏢 Midwest Detox Center Llc Facility NPI 1033608195

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
72 Specialists

Practicing in Maumee, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 175775

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Nicole Rayner

Counselor - Addiction (Substance Use Disorder)

NPI 1053902924
Andrea Mitchell

Licensed Practical Nurse

NPI 1114551801
Lauren Freeman

Licensed Practical Nurse

NPI 1265021810
Kelly Schonherr

Licensed Practical Nurse

NPI 1285268979
Kaley Hall

Counselor - Addiction (Substance Use Disorder)

NPI 1295340180
Andrea Linares , CDCA QHMS

Counselor - Addiction (Substance Use Disorder)

NPI 1295345098

CDCAQHMS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2021

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009 (Tel: 8336929134)

📍
Updated Business Mailing Address January 18, 2021

Registered at 1757 INDIAN WOOD CIR, MAUMEE, OH 435374009

👤
Provider Name / Credentials Updated January 18, 2021

Recorded as CODY RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2021

Licensed Practical Nurse (License #175775 in OH)

🟢
Initial NPI Registration & Enumeration January 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982293577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2021
Last Update: January 18, 2021
Sole Proprietor: Yes

Mailing Address

1757 Indian Wood Cir

Maumee, OH 435374009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.