Individual provider Active NPI

Abigail Eddins Russell, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1295300200
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1022193 Issued in TX
Practice address
7777 Forest LN Ste C106
Dallas, TX 75230-6831
Phone
(972) 566-5255
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1022193 TX
Nurse Practitioner 363L00000X 1022193 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C106
Dallas, TX 75230-6831

Mailing address

7777 Forest LN Ste C106
Dallas, TX 75230-6831
Phone (972) 566-5564

Other practice location 1

6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Phone (972) 566-5564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210721003129 TX Practitioner - Nurse Practitioner 4880097302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians

Practice addresses (Care Compare)

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1022193TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Joint Institute, PLLC CurrentSince Jul 5, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7777 Forest Ln
Ste C135
Dallas, TX 75230
Phone (972) 566-5051

7777 Forest Ln
Ste C106
Dallas, TX 75230
Phone (214) 823-7090

3500 Gaston Ave
Dallas, TX 75246

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1295300200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306831",
            "telephone_number": "972-566-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306831",
            "telephone_number": "972-566-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 W Parker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938172",
            "country_code": "US",
            "telephone_number": "972-566-5564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ABIGAIL",
        "middle_name": "EDDINS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1022193",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1022193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.