Caroline Michelle Russell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1129526 Issued in TX

Practice address

209 S Church St Ste a-B
Lockhart, TX 78644-2713

Phone

(512) 376-2999

Fax

(512) 376-5562

NPI assigned

Jul 24, 2023

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caroline.russell.1@8363.direct.athenahealth.com

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

• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  Medicare reassignment NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1023798113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST STE A-B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442713",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S CHURCH ST STE A-B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442713",
            "telephone_number": "512-376-2999",
            "fax_number": "512-376-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CAROLINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Robinson, LPC, PH.D.
• Macie Robinson, FNP
• Rocky Mountain Holdings, LLC (AirLIFE TEXAS)
• Teri Anne Rohlf, M.S.P.T.
• Barton James Romanek, M.D.
• Terri Anne Russell, MD
• Apryl Nicole Santana, LPC
• Savannah Medical, LLC (Savannah Medical Supply)
• Pamee Shah, DDS
• Claudia Chastant Shroyer, LPC

• Family Nurse Practitioner in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.