Individual provider Active NPI

Danielle Lashawn Russell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1104468636
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11002344 Issued in FL
Practice address
10573 Crossback LN
Lehigh Acres, FL 33936-6682
Phone
(239) 271-8280
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002344 FL
Family Nurse Practitioner 363LF0000X 11002344 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002344 FL Primary

Addresses

Primary practice location

10573 Crossback LN
Lehigh Acres, FL 33936-6682

Mailing address

10573 Crossback LN
Lehigh Acres, FL 33936-6682
Phone (239) 402-7439

Other practice location 1

3677 Central Ave Ste B
Fort Myers, FL 33901-8226
Phone (239) 790-1263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS, OR, TX, MT, WA, AK, CT, MO9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20250610000334 CO Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20250612002446 KS Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260102003633 OR Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260128003126 TX Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260128004608 MT Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260225001568 WA Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260407003170 AK Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260519001026 CT Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization
I20260608000492 MO Practitioner - Nurse Practitioner 3375976384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002344FLMDFamily Nurse Practitioner
APRN11002344FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 2, 2025 Accepting new patients
Royal Serenity Healthcare, LLC Family CurrentSince Jul 13, 2025 Accepting new patients
Grow Healthcare Group of Kansas PA Psychiatric/Mental Health CurrentSince May 6, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1104468636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 CROSSBACK LN",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366682",
            "telephone_number": "239-402-7439",
            "fax_number": "239-230-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10573 CROSSBACK LN",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366682",
            "telephone_number": "239-271-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3677 Central Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339018226",
            "country_code": "US",
            "telephone_number": "239-790-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DANIELLE",
        "middle_name": "LASHAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002344",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.