Rebecca Russell, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11022053 Issued in FL

Practice address

17757 US Highway 19 N Ste 175
Clearwater, FL 33764-6564

Phone

(866) 824-9699

NPI assigned

Dec 29, 2022

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 FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seasons Medical Group of Florida PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1710238381
  Medicare reassignment NPD
• Seasons Hospice & Palliative Care of Pinellas County LLC

  • Community Based Hospice Care Agency
  • Clearwater, FL
  • NPI 1821503756
  NPD
• Seasons Hospice & Palliative Care of Tampa, LLC

  • Community Based Hospice Care Agency
  • Tampa, FL
  • NPI 1720530660
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1144933698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17757 US HIGHWAY 19 N STE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17757 US HIGHWAY 19 N STE 175",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646564",
            "telephone_number": "866-824-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Rushing, APRN
• Russell Krol Enterprises, Inc.
• Conrad E Russell, CRNA
• Jamila Russell, LMHC
• Penelope Marie Russell, OTR/L
• Lisa B Rust, COTA
• Kimberly L Rutherford, MPT, DSC
• Daniel J. Ruyle, P.A.
• RX Medical Group LLC
• Rxwholesale LLC

• Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.