Russel Don Hughes, APRN, CNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8718 Issued in MN

Practice address

4720 Burning Tree Rd
Duluth, MN 55811-2634

Phone

(218) 623-1803

NPI assigned

Oct 28, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

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.

• Thrive Behavioral Network II, LLC

  dba Birch Tree Center

  • Physical Disabilities Residential Treatment Facility
  • Duluth, MN
  • NPI 1275955270
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1073277794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 BURNING TREE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112634",
            "telephone_number": "218-623-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 BURNING TREE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112634",
            "telephone_number": "218-623-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "RUSSEL",
        "middle_name": "DON",
        "credential": "APRN, CNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.cbh3.crediblebh.com/Login.html?",
            "affiliation": "N",
            "endpointDescription": "Credible is an electronic EMR that securely stores health information and allows sharing between doctors nurses and other health care providers.",
            "address_1": "4720 Burning Tree Rd",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558112634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eileen Huggins, LICSW
• Allen Leslie Hughes
• Deanna Marie Hughes
• Lisa Jean Hughes, NP
• Rita V Hughes, LMFT
• Tianna M Hughes, CNP
• Katie Cheney Hughson, APRN, CNP
• Allison Kathleen Hugus, APRN
• Lynnea Joy Hultkrantz
• Adam Richard Huneke, D.D.S

• Psychiatric/Mental Health Nurse Practitioner in Duluth, MN
• Providers in Duluth, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.