Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tavisha Nakia Russell, CNA

Individual provider Nurse's Aide · NPI 1114337003

Tavisha Nakia Russell, CNA is a Nurse's Aide in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

9600 Veterans Dr
Lakewood, WA 98493 Not confirmed with CMS for 12 years — call before visiting
Phone: (253) 582-8440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence NC60272176 (WA)

Record details

NPI number1114337003
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014

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