Saramma Mathew Russell, DNP, FNP-BC, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

583494 Issued in TX

Practice address

2626 S Loop W Ste 430
Houston, TX 77054-2649

Phone

(713) 560-1459

Fax

(281) 972-9242

NPI assigned

Mar 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sagestar Health & Wellness Clinic PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1164140984
  Authorized official Same address or phone

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1427180124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 BEEKMAN DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774591209",
            "telephone_number": "713-560-1459",
            "fax_number": "281-972-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542649",
            "telephone_number": "713-560-1459",
            "fax_number": "281-972-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARAMMA",
        "middle_name": "MATHEW",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "583494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501082-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Russell, MD
• Randi R Russell, NP
• Sammy Russell, MD
• Sandra L Russell, FNP
• Sarah Russell, LCDC-CI III
• Shannon Raye Russell, OTR/L
• Tameka Russell
• Timi Renee Russell, CSFA, LSA
• Anne Nicole Russey, LPC
• Russian Community Services,Inc

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.