Russell Nutrition LLC
NPI 1689494296ActiveOrganization· Dietitian, Registered· Marietta, GA
Dietitian, Registered in Marietta, Georgia, registered in NPPES in October 2024. The authorized official on file is Caitlin S. Russell, MS, RD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689494296 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2024 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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