Christy Kullman Russell, N.P.-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173139 Issued in VA

Practice address

8988 Fern Park Dr
Burke, VA 22015-1635

Phone

(703) 978-6061

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1407212095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 14TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028437",
            "telephone_number": "571-294-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 FERN PARK DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151635",
            "telephone_number": "703-978-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTY",
        "middle_name": "KULLMAN",
        "credential": "N.P.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney J. Klima, DDS, PC
• Rolling Valley Chiropractic Centre, PC
• Frances Rosa, MS, LPC
• Megan Roth, LCSW
• Raquel Ann Rudy-Lemanski, O.D.
• Katherine Elizabeth Rutledge, MD
• Saleem & Alquraishi PLLC
• Nagui N Saleh, MD
• Megan Elizabeth Salyer, RD
• Federico Sanabria, MD

• Family Nurse Practitioner in Burke, VA
• Providers in Burke, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.