Individual provider Active NPI

Lateashia Russell, LPN

  • Registered Nurse
  • Toledo, OH
National Provider Identifier
1174174965
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.551641 Issued in OH
Practice address
723 Phillips Ave BLDG E
Toledo, OH 43612-1351
Phone
(419) 407-5546
Fax
(567) 318-5258
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.551641 OH Primary
Licensed Practical Nurse 164W00000X LPN.172470.MEDS-IV OH

Addresses

Primary practice location

723 Phillips Ave BLDG E
Toledo, OH 43612-1351

Mailing address

723 Phillips Ave BLDG E
Toledo, OH 43612-1351
Phone (419) 407-5546

Other practice location 1

3518 Monroe St
Toledo, OH 43606-4114
Phone (419) 407-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.551641OHMDRegistered Nurse
LPN.172470.MEDS-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1174174965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE BLDG E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121351",
            "telephone_number": "419-407-5546",
            "fax_number": "567-318-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE BLDG E",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121351",
            "telephone_number": "419-407-5546",
            "fax_number": "567-318-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3518 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436064114",
            "country_code": "US",
            "telephone_number": "419-407-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LATEASHIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.551641",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.172470.MEDS-IV",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.