Serena Russo, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN282343 Issued in MA

Practice address

30 Winter PL FL 12
Boston, MA 02108-4733

Phone

(855) 210-1772

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By 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

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1235881343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 FAIRVIEW RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINTER PL FL 12",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084733",
            "telephone_number": "855-210-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "SERENA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MA",
            "license": "RN282343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Russo
• Meisui Russo
• Melissa Russo, LICSW
• Nicole Therese Russo, RN
• Sarah Russo, PHARMD
• Faven Ghebrehiwet Russom, MD
• Alyssa Langley Rust, MD
• Daniel Williams Rust, M.D.
• Rustam K. de Vitre, DMD
• Anna Elizabeth Rutherford, MD, MPH

• Case Management Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Case Management Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.