Susan Kay Russell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703043851 Issued in MI

Practice address

913 W Holmes Rd Ste 189
Lansing, MI 48910-0434

Phone

(517) 272-4357

Fax

(517) 272-4358

NPI assigned

Oct 16, 2012

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

Practice roles

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.

• BHG Lxxxiii, LLC

  • Multi-Specialty Clinic/Center
  • Lansing, MI
  • NPI 1518677525
  NPD (past)
• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mount Pleasant, MI
  • NPI 1598932253
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1477806396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 189",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100434",
            "telephone_number": "517-272-4357",
            "fax_number": "517-272-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 189",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100434",
            "telephone_number": "517-272-4357",
            "fax_number": "517-272-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703043851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Russ, LMSW
• Megan Elizabeth Russ, DO, PHD
• Claire Cleveland Russell, DO
• Emma Kristine Russell
• Karly Russell
• Hannah Russo
• Scott M Russo, DO
• Joseph Rutkowski, MD
• Melissa Nicole Rutledge, LLMSW
• Sydni Rutledge

• Licensed Practical Nurse in Lansing, MI
• Providers in Lansing, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.