Active NPI
Juane Russell, FNP
- Family Nurse Practitioner
- Moore, OK
National Provider Identifier
1689578650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 204742
- Practice address
- 2128 Meench Dr
Moore, OK 73170-7494 - Phone
- (580) 471-2550
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 204742 | OK | Primary |
Addresses
Primary practice location
2128 Meench Dr
Moore, OK 73170-7494
Mailing address
2128 Meench Dr
Moore, OK 73170-7494
Phone (580) 471-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1689578650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 MEENCH DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731707494",
"telephone_number": "580-471-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 MEENCH DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731707494",
"telephone_number": "580-471-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JUANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "204742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.