Kiera O'Connor Russo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027587 Issued in NY

Practice address

160 Wallace Way BLDG 9
Rochester, NY 14624-6215

Phone

(585) 617-2300

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1487151635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 ELMWOOD TER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203713",
            "telephone_number": "860-709-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WALLACE WAY BLDG 9",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246215",
            "telephone_number": "585-617-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KIERA",
        "middle_name": "O'CONNOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Russo
• Emily Victoria Russo, LPN
• Joseph Anthony Russo, PSY.D.
• Kelly Russo
• Kelly Ann Russo
• Sarina Russo
• Thomas J Russo, D.O.
• Alana Russotti
• Justin Russotti, PHD, LCSW
• Tara Russow, PHD

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.