IndividualActive
Tavisha Russell, CNA
NPI 1114337003 · Nurse's Aide · Lakewood, WA
Tavisha Russell, CNA is a Nurse's Aide provider in Lakewood, WA (NPI 1114337003).
Provider details
- NPI number
- 1114337003
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- NC60272176 (WA)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
9600 Veterans Drive
Lakewood, WA 98493
Phone: (253) 582-8440
Street-level locationGet directions
Mailing address
9916 24th Avenue Ct S
Tacoma, WA 98444-7743
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Frequently asked questions
- What is Tavisha Russell's NPI number?
- Tavisha Russell's National Provider Identifier (NPI) is 1114337003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tavisha Russell's specialty?
- Tavisha Russell is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).
- Where is Tavisha Russell located?
- Tavisha Russell's practice location on file with NPPES is 9600 Veterans Drive, Lakewood, WA 98493.
- What is Tavisha Russell's phone number?
- The practice phone number listed in the NPPES registry for Tavisha Russell is (253) 582-8440.
- Is Tavisha Russell's NPI active?
- Yes — Tavisha Russell's NPI (1114337003) is active in the NPPES registry as of the last update on 2014-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.