Active NPI
Jennifer Russell, FNP-C
- Nurse Practitioner
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 224396
- Practice address
- 1810 Lindberg Dr Ste 2100
Slidell, LA 70458-8160 - Phone
- (985) 649-2700
- Fax
- (985) 649-2950
- NPI assigned
- Mar 4, 2022
- Last updated
- Mar 4, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 224396 | LA | Primary |
Addresses
Primary practice location
1810 Lindberg Dr Ste 2100
Slidell, LA 70458-8160
Mailing address
PO Box 2209
Slidell, LA 70459-2209
Phone (985) 649-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Kingston Rd
Sulphur, LA 70663-4016
Phone (337) 991-9276
101 Judge Tanner Blvd
Suite 300
Covington, LA 70433-7506
Phone (985) 888-8750
2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224396 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Curana Health of Louisiana LLC | Current | Accepting new patients | |
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| CH MSSP Services la LLC | Current | Accepting new patients | |
| Iteld Bernstein and Associates LLC | Nurse Practitioner | Past | Accepting new patients |
| Metairie Physician Services Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750
387 W Railroad Ave
Independence, LA 70443
Phone (985) 606-4080
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
600 E Flournoy Lucas Rd
Shreveport, LA 71115
Phone (318) 212-2000
100 Kingston Rd
Sulphur, LA 70663
Phone (337) 625-5810
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Sulphur, LA
- NPI 1982285060
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1538399704
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
dba Calcasieu Urgent Care
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Cardiovascular Specialist/Technologist
- Slidell, LA
- NPI 1508817396
Nurse Practitioner
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
Nurse Practitioner
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Audubon Home Health of Hammond
- Home Health Agency
- Hammond, LA
- NPI 1750729760
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1659028108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2209",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704592209",
"telephone_number": "985-649-2700",
"fax_number": "985-649-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 LINDBERG DR STE 2100",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588160",
"telephone_number": "985-649-2700",
"fax_number": "985-649-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "224396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.