MRS. KATHRYN NIKOLE RUSSELL (NPI# 1902149800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902149800 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN NIKOLE RUSSELL |
| Other Name | MS. KATHRYN N SMITH |
| Credential | FNP-BC |
| Practice Address |
3900 New Covington Pike Ste 112 Memphis TN 38128-2526 |
| Practice Telephone | (901) 376-6821 |
| Practice Fax Number | 9016097747 |
| Mailing Telephone | (901) 376-6821 |
| Mailing Fax Number | 9016097747 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2017-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A810604 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
14717 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
17414 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
| 1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
| 1184950313 | Kathryn Joy Russell | Dermatology | 2235 Venetian Court Suite 1, Naples, FL 34109 | 2009-10-22 |
| 1720188790 | Kathryn Jane Russell | Marriage & Family Therapist | 5029 Lamart Dr, #6, Riverside, CA 92507-0605 | 2006-09-22 |
| 1255974887 | Kathryn Russell | Specialist/Technologist | 415 Columbia Rd, Colorado Springs, CO 80904-1307 | 2019-10-27 |
| 1881160315 | Kathryn Anne Russell | Specialist/Technologist | 6200 College Ave, Snyder, TX 79549-6189 | 2018-10-23 |
| 1568940377 | Kathryn Russell | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132 | 2018-08-02 |
| 1447551114 | Kathryn Renee-smith Russell | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-11-10 |
| 1750518049 | Kathryn White Russell | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 | 2009-06-15 |
| Street Address |
3900 NEW COVINGTON PIKE STE 112 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1275009037 | Lashaunda Rogers | Nurse Practitioner | 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 | 2018-10-19 |
| 1699170019 | Kimberly Nicole Vann | Nurse Practitioner | 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 | 2014-10-28 |
| 1770716078 | Christen D Greenfield | Nurse Practitioner | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2009-09-02 |
| 1902802556 | Jacquelyn Delois Kimball | Nurse Practitioner | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2005-06-27 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1912418302 | Linda Marie Jones | Nurse Practitioner | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2017-10-12 |
| 1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
| 1194183137 | Gwendolyn Mathis | Nurse Practitioner | 2220 Union Ave, Memphis, TN 38104 | 2016-02-05 |
| 1841684636 | Mia Mccoy | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2015-03-19 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on MRS. KATHRYN NIKOLE RUSSELL.
| 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.