Andrea Russell is a Developmental Therapist (organization) practicing in Rigby, Idaho. The National Provider Identifier (NPI) is #1104769520, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273; the contact telephone number is 2084199383. The primary taxonomy of Andrea Russell is Developmental Therapist (222Q00000X). The authorized official for Andrea Russell is Andrea Russell (Intervention Professional).
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
| NPI | 1104769520 |
| Entity Type | Organization |
| Organization Name | ANDREA RUSSELL |
| Provider Name | ANDREA RUSSELL |
| Practice Address |
1200 Jaylee Dr Unit 1 Rigby ID 83442-5273 |
| Practice Telephone | 2084199383 |
| Mailing Address |
1200 Jaylee Dr Unit 1 Rigby ID 83442-5273 |
| Mailing Telephone | 2084199383 |
| Certification Date | 2026-04-10 |
| Enumeration Date | 2026-04-10 |
| Last Update Date | 2026-04-10 |
| Is Organization Subpart | N |
| Official Name | ANDREA RUSSELL |
| Official Title | INTERVENTION PROFESSIONAL |
| Telephone | 2084199383 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | 193400000X SINGLE SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andrea Russell | 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273 | Community/Behavioral Health Agency | 2024-03-15 |
| Code | 222Q00000X |
| Taxonomy | Developmental Therapist |
| Classification | Developmental Therapist |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Thienne F Rissatto | 300 E Main St, Milford, MA 01757-2806 | Developmental Therapist | 2026-04-08 |
| Jessica Knudsen | 6748 E Us Highway 36, Avon, IN 46123-8312 | Developmental Therapist | 2026-04-07 |
| Kristine Beckford | 110 Court St Ste 3, Cromwell, CT 06416-1273 | Developmental Therapist | 2026-04-08 |
| Jameycia Jenkins | 4422 S Saint Lawrence Ave Apt 1, Chicago, IL 60653-2760 | Developmental Therapist | 2026-04-07 |
| Donna Blumer | 610 N Vorcey St, Tolono, IL 61880-9599 | Developmental Therapist | 2026-04-02 |
| Erika R. Cody | 1329 Maple St # 1, Clarkston, WA 99403-2341 | Developmental Therapist | 2026-04-07 |
| Vanessa Kalle | 85 Highland Rd, Thornwood, NY 10594-2126 | Developmental Therapist | 2026-04-11 |
| Brainy Attaa Pokuaa | 4143 Napoli Lake Dr, Riviera Beach, FL 33410-7508 | Developmental Therapist | 2026-03-27 |
| Christina Hyland | 150 Layken Ln, Woodruff, SC 29388-9815 | Developmental Therapist | 2026-03-27 |
| Christine Ogden | 543 North St, New Bedford, MA 02740-2782 | Developmental Therapist | 2026-04-01 |
| Find all providers with the same taxonomy | |||
| Street Address |
1200 JAYLEE DR UNIT 1 |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-5273 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Andrea Russell | 1200 Jaylee Dr Unit 1, Rigby, ID 83442-5273 | Community/Behavioral Health Agency | 2024-03-15 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Grays River Homecare, LLC | 162 N 4032 E, Rigby, ID 83442-4962 | Home Health Agency | 2026-02-26 |
| Cory Warner | 190 N 1st W, Rigby, ID 83442-1305 | General Practice Dentistry | 2022-06-27 |
| Prosper Dda | 4043 E 530 N, Rigby, ID 83442-4948 | Developmentally Disabled Services Day Training Agency | 2022-03-17 |
| Summit Dermcare, PLLC | 170 N 4046 E, Rigby, ID 83442-4952 | Physician Assistant | 2026-01-13 |
| East Idaho Ear Nose Throat-Facial Plastic Surgery Pa | 527 Rigby Lake Dr Ste C, Rigby, ID 83442-5117 | Pediatric Otolaryngology Physician | 2012-03-15 |
| Sharon Michelle Moosman | 3840 E 120 N, Rigby, ID 83442-4930 | Occupational Therapy Assistant | 2025-12-27 |
| Spring Creek Mental Health PLLC | 711 Rigby Lake Dr Ste 600, Rigby, ID 83442-5372 | Psychiatric/Mental Health Nurse Practitioner | 2025-02-05 |
| Toni J Russell | 4302 E 500 N, Rigby, ID 83442-5216 | Behavior Technician | 2025-09-09 |
| Mitchell Lee Jephson | 153 1/2 E Main St, Rigby, ID 83442-1417 | Chiropractor | 2007-04-16 |
| Bart Whiting | 3722 343 N, Rigby, ID 83442 | Other Technician | 2026-03-27 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kasssandra Gail Russell · Kassandra Gail Russell | 1101-01 N Progress Ave, Siloam Springs, AR 72761 | Behavior Technician | 2026-02-19 |
| Andrea Koering · Andrea Mist Rezac | 1 Veterans Dr, Minneapolis, MN 55417-2309 | Social Worker | 2023-12-14 |
| Andrea A. Russell | 7660 E Broadway Blvd, Suite 207, Tucson, AZ 85710-3774 | Adult Development & Aging Psychologist | 2007-02-12 |
| Andrea Carol Jewell · Andrea Meffert | 4123 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | Neonatal Nurse Practitioner | 2011-08-10 |
| Andrea Gabriela Vasser · Andrea Gabreila Sepulveda | 3333 Green Bay Rd, North Chicago, IL 60064-3037 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| Suzanne Jenkins Russell · Suzanne Russell Thornberry | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | Clinical Social Worker | 2006-08-30 |
| Devin Page Russell Mcintosh · Devin Russell | 600 Gresham Dr, Norfolk, VA 23507-1904 | Student in an Organized Health Care Education/Training Program | 2021-03-26 |
| Andrea Laurin Mcfarland · Andrea Boyles | 222 N 6th St Ste 100, Manhattan, KS 66502-4956 | Clinical Social Worker | 2018-05-29 |
| Elizabeth Ann Russell · Liz Russell | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | Student in an Organized Health Care Education/Training Program | 2026-04-06 |
| Andrea Thompson · Andrea Evette Coleman | 424 W Woodruff Ave, Toledo, OH 43604-5027 | Social Worker | 2024-06-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |