Dianna Deen Russell, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4002146 Issued in KY

Practice address

308 W 15TH St
Hopkinsville, KY 42240-2038

Phone

(270) 660-8866

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  KY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Cansler Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1225798671
  NPD
• Therapeutic Medical Weight Loss, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1033861836
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1457089278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402038",
            "telephone_number": "270-485-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402038",
            "telephone_number": "270-660-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DIANNA",
        "middle_name": "DEEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1157389",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4002146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ehr2.charmtracker.com",
            "affiliation": "Y",
            "affiliationName": "Cansler Health, LLC",
            "address_1": "308 W 15th St",
            "city": "Hopkinsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422402038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katy Roth
• Jeannie L Rowe, DO
• William Mackness Rowlett, MD
• Jana Rozmarynowski, PMHNP-BC
• Joey Lynn Rushing
• S&R Enterprises Inc.
• Lugene Sadler, MS, CCC-SLP
• Aaron Foster Sage
• Emily Hurd Saldana, PAC
• Jimmy Dean Salyers Jr., LCSW

• Psychiatric/Mental Health Nurse Practitioner in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.