Individual provider Active NPI

Sandra L Russell, FNP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1629349303
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
513234 Issued in TX
Practice address
17010 Sugar Pine Dr.
Houston, TX 77090
Phone
(281) 537-8627
Fax
(281) 537-8628
NPI assigned
Jan 26, 2012
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 513234 TX Primary

Addresses

Primary practice location

17010 Sugar Pine Dr.
Houston, TX 77090

Mailing address

2150 W. 18TH Street
#300
Houston, TX 77008
Phone (713) 426-0027

Other identifiers 1

IdentifierTypeStateIssuer
202850801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729000731 TX Practitioner - Nurse Practitioner 1850536822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2150 W 18TH St
Suite 300
Houston, TX 77008-1289
Phone (832) 890-7225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
513234TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Community Services, Inc. CurrentSince Mar 7, 2019 Accepting new patients
Houston Area Community Services, Inc. Past Accepting new patients

Locations

14095 Main St
Houston, TX 77035
Phone (832) 830-8345

17010 Sugar Pine Dr
Houston, TX 77090
Phone (281) 537-1491

2150 W 18th St
Ste 300
Houston, TX 77008

2920 Fannin St
Houston, TX 77002
Phone (713) 341-3790

902 Frostwood Dr
Ste 142
Houston, TX 77024
Phone (713) 827-8266

18842 S Memorial Dr
Ste 206
Humble, TX 77338
Phone 7134260027 ext. 07225

Interoperability endpoints

  • Direct secure messaging: srussell368027@direct.ochin.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1629349303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W. 18TH STREET",
            "address_2": "#300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77008",
            "telephone_number": "713-426-0027",
            "fax_number": "713-526-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 SUGAR PINE DR.",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090",
            "telephone_number": "281-537-8627",
            "fax_number": "281-537-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "513234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202850801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.