Katosha Nicole Russell, MSN, APRN, FNP-BC.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008196 Issued in KY

Practice address

73 Kingswood Dr
Campbellsville, KY 42718-9604

Phone

(270) 789-1112

Fax

(270) 789-3157

NPI assigned

Aug 10, 2013

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 names 1

• Katosha Nicole Thornsberry-Russell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1346673647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "270-789-1112",
            "fax_number": "270-789-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189604",
            "telephone_number": "270-789-1112",
            "fax_number": "270-789-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KATOSHA",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-BC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-10",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATOSHA",
            "last_name": "THORNSBERRY-RUSSELL",
            "middle_name": "NICOLE",
            "credential": "MSN, APRN, FNP-BC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas L Rogers, MD
• Robert Burns Romines, MD
• Sharon N Rose, CNM, ARNP
• Deandra Russ, MS, CCC/SP
• Seneca Russell-Rodriguez
• Kyle Bryan Salsbury, P.T.
• Kaitlyn Sanfilippo, MA, ATC, LAT
• Blasia Marie Schlieker
• Shaina Marie Seaborne
• Sierra Seaborne

• Family Nurse Practitioner in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.