RUSSELL NATHANIEL WHITAKER B.S NPI 1417490327

NPI Information

  • NPI: 1417490327
  • Provider Name: RUSSELL NATHANIEL WHITAKER, B.S
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 115 PRIVATE ROAD 977
    PEDRO, OH
    ZIP 45659
  • Phone: (740) 451-0407

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NPI Details

Russell Nathaniel Whitaker, B.S is a professional counselor in Pedro, OH. Russell Nathaniel Whitaker, B.S NPI is 1417490327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 PRIVATE ROAD 977
PEDRO, OH
ZIP 45659-608
Phone: (740) 451-0407
Fax: (740) 534-1513

The enumeration date for this NPI number is 11/25/2016 and was last updated on 1/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2101YP2500XCounselorProfessionalC.2507377-TRNEOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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