Individual provider Active NPI

Barbara Russiff, F.N.P.C.

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1457456204
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117289 Issued in TX
Practice address
5012 S US Highway 75
Suite 100
Denison, TX 75020-4587
Phone
(903) 416-6285
Fax
(903) 416-6286
NPI assigned
Sep 14, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117289 TX Primary
Family Nurse Practitioner 363LF0000X 112223 OK

Addresses

Primary practice location

5012 S US Highway 75
Suite 100
Denison, TX 75020-4587

Mailing address

PO Box 844693
Dallas, TX 75284-4693
Phone (903) 416-6325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112223OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glenrock Hospital District Past Accepting new patients
Urgent Care of Wyoming Inc. Past Accepting new patients
Texomacare Family Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1457456204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844693",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844693",
            "telephone_number": "903-416-6325",
            "fax_number": "903-416-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 100",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6285",
            "fax_number": "903-416-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSIFF",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "F.N.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117289",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "112223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.