Active NPI
Stephanie Russell, MSN, RN, FNP-BC
- Family Nurse Practitioner
- Katy, TX
National Provider Identifier
1235559303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125544
- Practice address
- 24831 Blane Dr
Katy, TX 77493-2712 - Phone
- (336) 392-3711
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125544 | TX | Primary |
Addresses
Primary practice location
24831 Blane Dr
Katy, TX 77493-2712
Mailing address
24831 Blane Dr
Katy, TX 77493-2712
Phone (336) 392-3711
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP125544 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1235559303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24831 BLANE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774932712",
"telephone_number": "336-392-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24831 BLANE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774932712",
"telephone_number": "336-392-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "STEPHANIE",
"credential": "MSN, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.