Individual provider Active NPI

Olivia Russ

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770356750
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11028491 Issued in FL
Practice address
9444 Cullen Blvd
#331483
Houston, TX 77051-2656
Phone
(602) 492-7638
Fax
(346) 202-0273
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209030010 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11028491 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301831 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP003388 SD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1154869 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 79615 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10027844 OR

Addresses

Primary practice location

9444 Cullen Blvd
#331483
Houston, TX 77051-2656

Mailing address

9444 Cullen Blvd
#331483
Houston, TX 77051-2656
Phone (602) 492-7638

Other practice location 1

902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818

Other practice location 2

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818

Other practice location 3

20855 S LaGrange Rd Ste 205
Frankfort, IL 60423-2043
Phone (733) 985-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301831AZMDPsychiatric/Mental Health Nurse Practitioner
APRN11028491FLMDPsychiatric/Mental Health Nurse Practitioner
79615IDMDPsychiatric/Mental Health Nurse Practitioner
209030010ILMDPsychiatric/Mental Health Nurse Practitioner
10027844ORMDPsychiatric/Mental Health Nurse Practitioner
CP003388SDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1770356750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9444 CULLEN BLVD",
            "address_2": "#331483",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770512656",
            "telephone_number": "602-492-7638",
            "fax_number": "346-202-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9444 CULLEN BLVD",
            "address_2": "#331483",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770512656",
            "telephone_number": "602-492-7638",
            "fax_number": "346-202-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Frostwood Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242402",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7877 Willow Chase Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705934",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20855 S LaGrange Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604232043",
            "country_code": "US",
            "telephone_number": "733-985-3539",
            "fax_number": "738-258-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209030010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11028491",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301831",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP003388",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1154869",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "79615",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10027844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.