Tiffanie Russell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RNP227754 Issued in AZ

Practice address

2730 S Val Vista Dr Ste 138
Gilbert, AZ 85295-1681

Phone

(480) 686-9686

NPI assigned

Jun 24, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tiffanie.russell.1@31506.direct.athenahealth.com

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.

• We Care Osteopathic Wellness Center, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Gilbert, AZ
  • NPI 1720284920
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1396306163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 E IVANHOE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953498",
            "telephone_number": "480-907-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 138",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951681",
            "telephone_number": "480-686-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13175 AZ-169",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "86327",
            "country_code": "US",
            "telephone_number": "877-632-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TIFFANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP227754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "RNP227754",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karson Justin Rush Briones
• Frederick Russek Jr., DO
• Megan Russell
• Nicole Russell
• Robert Austin Russell
• Lisa Dawn Russo
• Bartley Chad Rust, PA-C
• Jeffery Scott Rust, P.A
• RV Healthcare LLC
• Rviv Wellness LLC

• Family Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.