Cheria Russenberger, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

P0007500 Issued in AR

Practice address

801 W Locust St
Cabot, AR 72023-2414

Phone

(501) 424-3016

NPI assigned

Jul 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1528082401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W LOCUST ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232414",
            "telephone_number": "501-424-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W LOCUST ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232414",
            "telephone_number": "501-424-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSENBERGER",
        "first_name": "CHERIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "P0007500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196555758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy I. Rodriguez
• Jeffrey Tanner Rogers, PHARMD
• Madilyn Jade Roling
• Frances Renee Ross, MD
• Albert Russenberger II
• Ryan C. Martin DMD PLLC
• Samuel F. Jirik DDS PA
• Kayla R Sanders, APRN
• Dixie Renee Santiago, LPC
• Tina Santoro, MS, CCC-SLP

• All providers in Cabot, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.