Individual provider Active NPI

Denise Russell, ARNP

  • Women's Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1609182443
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
6441P Issued in KY
Practice address
1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467
Phone
(859) 278-0396
Fax
(859) 277-5414
NPI assigned
Aug 30, 2010
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 6441P KY Primary

Addresses

Primary practice location

1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467

Mailing address

1700 Nicholasville Rd Ste 701
Lexington, KY 40503-1467
Phone (859) 278-0396

Other practice location 1

206 Bevins Ln
Georgetown, KY 40324-6130
Phone (502) 868-0338

Other practice location 2

1760 Nicholasville Rd
Suite 101
Lexington, KY 40503-1471
Phone (859) 278-0396

Other identifiers 1

IdentifierTypeStateIssuer
7100142080MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drussell8577@bhkydirect.com

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

State licenses

LicenseStateTypeSpecialty
6441PKYMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: drussell@lexobgyn.gwaydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1609182443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NICHOLASVILLE RD STE 701",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031467",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Bevins Ln",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403246130",
            "country_code": "US",
            "telephone_number": "502-868-0338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Nicholasville Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031471",
            "country_code": "US",
            "telephone_number": "859-278-0396",
            "fax_number": "859-277-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "6441P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100142080",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drussell8577@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1700 Nicholasville Rd Ste 701",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405031467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.