KRISTIN RUSSO (NPI# 1174971394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174971394 |
| Entity Type | Individual |
| Full Name | KRISTIN RUSSO |
| Credential | WHNP-BC |
| Practice Address |
105 Medical Center Dr Suite 303 Slidell LA 70461-5544 |
| Practice Telephone | 9856613591 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP08757 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2428357 | 05 | |
| MS | 09801776 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588068423 | Kristin Russo | Counselor | 75 1/2 Pickering St, Danvers, MA 01923-2018 | 2014-10-21 |
| 1730118423 | Kristin B Russo | Physical Therapist | 5070 W Rawson Ave, Franklin, WI 53132-9448 | 2006-07-03 |
| 1750737573 | Kristin Irene Russo | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2016-05-11 |
| 1568654556 | Kristin Elizabeth Nelson Russo | Dentist | 4836 E Trindle Rd, Mechanicsburg, PA 17050 | 2007-08-14 |
| 1770683559 | Kristin Gallo Russo | Optometrist | 350 Sparta Ave., Building A, Sparta, NJ 07871 | 2006-09-22 |
| Street Address |
105 MEDICAL CENTER DR SUITE 303 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074794 | Arthur A. Caire | Specialist | 105 Medical Center Dr, Ste 102, Slidell, LA 70461-5537 | 2005-06-23 |
| 1407314248 | Ochsner Clinic LLC | Internal Medicine | 105 Medical Center Dr, Slidell, LA 70461-5544 | 2019-03-12 |
| 1003225905 | Ha Ninh | Optometrist | 105 Medical Center Dr, Ste 202, Slidell, LA 70461-5544 | 2014-08-05 |
| 1841450780 | John F Vu | Anesthesiology | 105 Medical Center Dr, Suite # 205, Slidell, LA 70461-5544 | 2008-06-13 |
| 1326214875 | The Spine Management Center,llc | Pain Medicine | 105 Medical Center Dr, Suite 305, Slidell, LA 70461-5544 | 2008-05-05 |
| 1891972410 | Adela' Marie Narcisse | Obstetrics & Gynecology | 105 Medical Center Dr, Suite #303, Slidell, LA 70461-5544 | 2008-01-25 |
| 1952508525 | Arthur Caire,iv.,m.d., A.p.mc. | Specialist | 105 Medical Center Dr, Suite 102, Slidell, LA 70461-5544 | 2007-06-28 |
| 1700090016 | Slidell Internal Medicine Clinic LLC | Internal Medicine | 105 Medical Center Dr, Suite 301, Slidell, LA 70461-5544 | 2007-05-09 |
| 1285853853 | Bayou Foot Care, LLC | Durable Medical Equipment & Medical Supplies | 105 Medical Center Dr, Suite 302, Slidell, LA 70461-5544 | 2007-04-24 |
| 1750500468 | Bayou Foot Care, LLC | Podiatrist | 105 Medical Center Dr, Suite 302, Slidell, LA 70461-5544 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
| 1578720785 | Tamla T Pierre | Nurse Practitioner | 6010 S Muirfield Cir, New Orleans, LA 70128-3655 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.