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

Shawnterra Marie Russell

Individual provider Peer Specialist · NPI 1063263416

Shawnterra Marie Russell is a Peer Specialist in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12608 Grimsby Ave
Cleveland, OH 44135-4850
Phone: (330) 490-9395
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.006787 (OH)
Adult Companion Taxonomy 372600000X

Record details

NPI number1063263416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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