Renae Ross Russell, R.N. R.N.F.A. CNOR

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

631327 Issued in TX

Practice address

1030 Suffolk LN
Cedar Hill, TX 75104-4112

Phone

(214) 728-0610

Fax

(972) 291-4409

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: renae.rossrnfa.p1@direct.urologyclinics.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R. Ross First Assisting Inc.

  • Registered Nurse First Assistant
  • Cedar Hill, TX
  • NPI 1285821496
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1023025491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 FM 876",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SUFFOLK LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044112",
            "telephone_number": "214-728-0610",
            "fax_number": "972-291-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RENAE",
        "middle_name": "ROSS",
        "name_prefix": "Ms.",
        "credential": "R.N.  R.N.F.A.  CNOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "631327",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "631327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036KE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosetta'S Home and Care LLC.
• Royal Healthcare Services
• Royalty Brand Enterprises LLC
• Royalty'S Ancillary Services
• Ruach Mental Health and Wellness
• S&S Diet Rehab Center LLC
• Salubrious Professionals, Inc.
• Cynthia Sanchez, MS, LPC
• Otoniel Santiago, RDN, LD
• Keri Sarver

• Registered Nurse First Assistant in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.