Kristin Russo, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP08757 Issued in LA

Practice address

105 Medical Center Dr
Suite 303
Slidell, LA 70461-5544

Phone

(985) 661-3591

NPI assigned

May 27, 2016

Last updated

Oct 31, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
• Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372
  Medicare reassignment Care Compare group NPD
• East Jefferson Physicians Group Urgent Care

  • Urgent Care Clinic/Center
  • Kenner, LA
  • NPI 1053859082
  NPD
• Metairie Physician Services Inc.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1801233648

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878
  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286
  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  dba East Jefferson General Hospital

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  dba Lakeview Regional Behavioral Health

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1174971394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DR",
            "address_2": "SUITE 303",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DR",
            "address_2": "SUITE 303",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615544",
            "telephone_number": "985-661-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KRISTIN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP08757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428357",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09801776",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Ruffin
• Jayla Ruffin
• Darren Patrick Ruiz, M.D.
• Christopher Russell, CIT
• Jennifer Russell, FNP-C
• Patricia Rutledge, LMHC
• S Wheat Anesthesia Services
• Safe in His Arms Transportation LLC (N/a)
• Safe Lane LLC
• Safe Transit LLC

• Women's Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.