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Theresa Russell, CADC-11
NPI 1255465530 · Specialist · Pollock Pines, CA
Theresa Russell, CADC-11 is a Specialist provider in Pollock Pines, CA (NPI 1255465530).
Provider details
- NPI number
- 1255465530
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CADC-11
- Sex
- Female
- Sole proprietor
- No
- License
- A8463203 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5494 Pony Express Trail
Pollock Pines, CA 95726
Phone: (530) 664-3758
Fax: (530) 644-3782
Approximate (ZIP-level) locationGet directions
Mailing address
2173 Danbury Way
Rancho Cordova, CA 95670-2271
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theresa Russell's NPI number?
- Theresa Russell's National Provider Identifier (NPI) is 1255465530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Russell's specialty?
- Theresa Russell is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Theresa Russell located?
- Theresa Russell's practice location on file with NPPES is 5494 Pony Express Trail, Pollock Pines, CA 95726.
- What is Theresa Russell's phone number?
- The practice phone number listed in the NPPES registry for Theresa Russell is (530) 664-3758.
- Is Theresa Russell's NPI active?
- Yes — Theresa Russell's NPI (1255465530) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.