Active NPI
Kathleen McCraney Brown Russell
- Registered Nurse
- Baton Rouge, LA
National Provider Identifier
1366226300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 212619
- Practice address
- 7645 Jefferson Hwy
Baton Rouge, LA 70809-1102 - Phone
- (225) 767-2686
- NPI assigned
- Aug 21, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 212619 | LA | Primary |
Addresses
Primary practice location
7645 Jefferson Hwy
Baton Rouge, LA 70809-1102
Mailing address
4693 Hyacinth Ave
Baton Rouge, LA 70808-3822
Phone (225) 226-2774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212619 | LA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1366226300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4693 HYACINTH AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083822",
"telephone_number": "225-226-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7645 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091102",
"telephone_number": "225-767-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "KATHLEEN",
"middle_name": "MCCRANEY BROWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "212619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.