Maria Russ, ARNP, CPNP, PH.D

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2562902 Issued in FL

Practice address

17709 Grey Eagle Rd
Same
Tampa, FL 33647-2261

Phone

(813) 994-7736

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023193133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 GREY EAGLE RD",
            "address_2": "SAME",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472261",
            "telephone_number": "813-994-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 GREY EAGLE RD",
            "address_2": "SAME",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472261",
            "telephone_number": "813-994-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "ARNP, CPNP, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "2562902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Rush, M.D.
• Emma Margaret Rushing, DMD
• Bethany Rusnak, LMFT
• Eduardo Cleavon Russ, CSFA
• Kimberly Michele Russ, M.ED.
• Taylor Morgan Russ
• Rene Denise Russakis, CRNA
• Brenda Russell-Diaz, LMHC
• Cortney Russell-Eaton, AU.D., CCC-A
• Barbara Ann Russell, M.D.

• Pediatric Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.