Heather Leigh Russell, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

217990 Issued in AR

Practice address

408 Office Park Dr
Bryant, AR 72022-7534

Phone

(501) 847-2835

Fax

(501) 847-6809

NPI assigned

Nov 18, 2021

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• B&T Advanced Health, PLLC

  dba Bryant Family Managed Care

  • Primary Care Nurse Practitioner
  • Bryant, AR
  • NPI 1568985240
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1689331258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WOODED ACRES CIR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204088",
            "telephone_number": "501-258-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227534",
            "telephone_number": "501-847-2835",
            "fax_number": "501-847-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HEATHER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-03-24",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan N Roth, D.C.
• Alexis Balisterri Rountree, DDS
• Elizabeth Rowton
• RPH on the Go USA
• Rebecca J Rusnak, AU.D.
• Madison Russell
• Rebecca Danielle Russell
• Sarah Sagar
• Catherine Hope Salazar, M.S. CCC-SLP
• Salco NC Inc (Evergreen Living Center at Stagecoach)

• Family Nurse Practitioner in Bryant, AR
• Providers in Bryant, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.