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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Carol D Russell, PA-C

Medical Physician Assistant in Viera, FL · enumerated 2005.

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

National Provider Identifier

1336134865

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Registry record

Entity type Individual (Type 1)
Name Mrs. Carol D Russell
Credential PA-C
Sex Female
Practice address Space Coast Volunteers in Medicine, 2555 Judge Fran Jamieson Way, Viera, FL, 32940
Fax (321) 637-7312
Enumeration date Sep 12, 2005
Last updated in NPPES Jan 26, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2709 (FL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2709 (FL) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License LL861 (FL) 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.

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Frequently asked questions

Is NPI 1336134865 active?
Yes, as of the latest NPPES snapshot, NPI 1336134865 is active (record last updated 2024-01-26).
How do I verify Carol Russell's NPI record?
Cross-check NPI 1336134865 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-26.