Active NPI
Denise Russell, ARNP
- Women's Health Nurse Practitioner
- Lexington, KY
National Provider Identifier
1609182443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 6441P
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100142080 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6441P | KY | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- 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.