Andrea Russell
NPI 1104769520 · Community/Behavioral Health Agency · Rigby, ID
Andrea Russell is a Community/Behavioral Health Agency organization in Rigby, ID (NPI 1104769520).
Provider details
- NPI number
- 1104769520
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Andrea Russell, Intervention Professional(208) 419-9383
Specialties & taxonomies
Agencies
- Developmental Therapist222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-10
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Frequently asked questions
- What is Andrea Russell's NPI number?
- Andrea Russell's National Provider Identifier (NPI) is 1104769520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andrea Russell?
- Andrea Russell is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Andrea Russell located?
- Andrea Russell's practice location on file with NPPES is 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273.
- What is Andrea Russell's phone number?
- The practice phone number listed in the NPPES registry for Andrea Russell is (208) 419-9383.
- Who is the authorized official for Andrea Russell?
- The authorized official listed on Andrea Russell's NPPES record is Andrea Russell, Intervention Professional. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andrea Russell's NPI active?
- Yes — Andrea Russell's NPI (1104769520) is active in the NPPES registry as of the last update on 2026-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.