NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jessica Russ, CCP

Perfusionist in Phoenix, AZ · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174929129

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Jessica Russ
Credential CCP
Sex Female
Practice address 10930 N Tatum Blvd, Ste 103, Phoenix, AZ, 85028
Fax (602) 212-0365
Enumeration date Nov 18, 2014
Last updated in NPPES Nov 18, 2014

Taxonomy & licenses

242T00000X Perfusionist Technologists, Technicians & Other Technical Service Providers · License LP030 (NV) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jessica Russ practice?
The practice location on file with NPPES is in Phoenix, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jessica Russ?
The National Provider Identifier (NPI) for Jessica Russ is 1174929129, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-18.