Keeley Claire Russ, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

207481 Issued in LA

Practice address

1105 Hudson LN
Monroe, LA 71201-6003

Phone

(318) 322-6500

Fax

(318) 322-5118

NPI assigned

Jul 30, 2019

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

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Solutions Counseling Center

  • Counselor
  • Monroe, LA
  • NPI 1063666212
  Medicare reassignment NPD
• Family Solutions Pediatrics, LLC

  • Pediatrics Physician
  • Monroe, LA
  • NPI 1396206223
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1376197194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 FOREST CIR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702666",
            "telephone_number": "318-548-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 HUDSON LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016003",
            "telephone_number": "318-322-6500",
            "fax_number": "318-322-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "KEELEY",
        "middle_name": "CLAIRE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "207481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakarrah Benjamin Ruffin
• Doris Rufus
• Kate M Rugg, NP-C
• Sherry S Rumby, LPC, LMFT
• Rhonda Terese Rushing, PMHNPBC
• Chelsea M Russell, MS, LPC, NCC
• Dalton Lee Russell
• Dan L Russell, RPH
• Lacey Russell, ACNP
• Rhonda Russell, RPH

• Psychiatric/Mental Health Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.