Kathleen Russo, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2918432 Issued in FL

Practice address

700 Medical Blvd
Englewood, FL 34223-3964

Phone

(941) 475-6571

NPI assigned

Jul 19, 2005

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 MT, TX, NC3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.russo.1@18760.direct.athenahealth.com

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.

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  NC, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• McCone County Health Center Inc

  • Medical Physician Assistant
  • Circle, MT
  • NPI 1740464916

  MT

  Medicare reassignment NPD
• McCone County Health Center, Inc.

  • Critical Access Hospital
  • Circle, MT
  • NPI 1790803369

  MT

  Medicare reassignment NPD
• Memorial Hospital Association

  • Primary Care Clinic/Center
  • Red Lodge, MT
  • NPI 1184785099

  MT

  Medicare reassignment NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Red Lodge, MT
  • NPI 1336119338

  MT

  Medicare reassignment NPD
• Pioneer Medical Center

  • Critical Access Hospital
  • Big Timber, MT
  • NPI 1003939190

  MT

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• McCone County Health Center Inc

  • Rural Health Clinic/Center
  • Circle, MT
  • NPI 1881234185
  NPD
• Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Red Lodge, MT
  • NPI 1952479537
  NPD
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387
  NPD
• All X Ray Diagnostic Services Corp

  • Clinic/Center
  • Miami, FL
  • NPI 1659399574
  NPD (past)
• Cape Coral Emergency Physicians

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1225093941
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Central Carolina Medical Center LLC

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1790784932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3492",
            "city": "PLACIDA",
            "state": "FL",
            "postal_code": "339463492",
            "telephone_number": "941-698-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL BLVD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342233964",
            "telephone_number": "941-475-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2061 Englewood Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342231749",
            "country_code": "US",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2918432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2918432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019998700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector Rosa, MD
• Jeannette D Ross, LCSW
• Stephen Mark Ross, MD,PHD
• Candace Lorraine Rudzinski, LMSW
• Erick Rumold
• Norma Iris Sanchez, P.T.
• Sante'Wave Wellness and Aesthetics
• David Schenck, MD
• Diana Lilliann Schmitt
• Ashley Nicole Schmittendorf, RBT

• Family Nurse Practitioner in Englewood, FL
• Providers in Englewood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.

Verify at the official NPI Registry.