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
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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
Phone (602) 263-7600
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.
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
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-18.