Cryselda Ann Russell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

652885 Issued in TX

Practice address

608 N Muskingum Ave
Odessa, TX 79761-4539

Phone

(432) 580-9168

Fax

(432) 580-8221

NPI assigned

Sep 28, 2015

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

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23800/brand/1/csg/1/fhir/r4

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.

• Charles a Lively MD PA

  • Obstetrics Physician
  • Odessa, TX
  • NPI 1437363926
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1033589502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 FOUNTAIN CT",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611938",
            "telephone_number": "432-210-1657",
            "fax_number": "432-580-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MUSKINGUM AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614539",
            "telephone_number": "432-580-9168",
            "fax_number": "432-580-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CRYSELDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "652885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Michelle Royal, OT
• Jaclyn G. Rubio
• Evithner Mendoza Ruiz
• Roberto Ruiz, MD
• Laurie Rush, P.T.
• Myrna Russell, LCDC
• Robin D Rutherford, DDS
• Ember Rydell, LPC-ASSOCIATE
• S. Y. Liu, MD., PA
• S&M Health LLC

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, 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 Sep 28, 2015; 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.