Roy Anthony Russell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

851633 Issued in TX

Practice address

9127 County Road 2035
Sinton, TX 78387-5009

Phone

(361) 222-2077

NPI assigned

Feb 15, 2018

Last updated

Feb 15, 2018By the provider in NPPES

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1154821155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9127 COUNTY ROAD 2035",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783875009",
            "telephone_number": "361-222-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 COUNTY ROAD 2035",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783875009",
            "telephone_number": "361-222-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ROY",
        "middle_name": "ANTHONY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "851633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Diane Palafox
• PM Management-Sinton NC, LLC (Trisun Care Center-Sinton)
• Joseph Paul Puente, M.D.
• John Hunter Rackley, PA-C
• Ariana Leila Roblez
• S.a.V.E.S.
• San Patricio County
• San Patricio County Health Department
• Sinton Dental PLLC (Sinton Dental & Orthodontics)
• Sinton Independent School District

• Registered Nurse in Sinton, TX
• Providers in Sinton, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.