Deniece Russell-McAdory

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1058694 Issued in TX

Practice address

6705 W Highway 290 Ste 607
Austin, TX 78735-8408

Phone

(512) 843-5169

Fax

(512) 856-6238

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Prestigious Guidance Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hutto, TX
  • NPI 1699579946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1629408463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 W HIGHWAY 290 STE 607",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358408",
            "telephone_number": "512-843-5169",
            "fax_number": "512-856-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 W HIGHWAY 290 STE 607",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358408",
            "telephone_number": "512-843-5169",
            "fax_number": "512-856-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL-MCADORY",
        "first_name": "DENIECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R874534",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1058694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672568",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie W Rusk, MD
• Katherine Claire Rusnak
• Katie Nicole Rusnak, OTR
• Shawna Russell Lane, BCBA, LBA
• Russell R Roby MD PA
• Abigail Marie Russell
• Allison Alyse Russell, RN, FNP-C
• Amanda Russell, IBCLC
• Ariel Russell
• Craig Allen Russell, M.ED., L.P.C.

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.