Danya Lee Russo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704273908 Issued in MI

Practice address

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822

Phone

(906) 635-4460

Fax

(906) 635-4460

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871030833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SUN GLO DR",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839042",
            "telephone_number": "906-322-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4460",
            "fax_number": "906-635-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 N M 129",
            "address_purpose": "LOCATION",
            "city": "Cedarville",
            "state": "MI",
            "postal_code": "497199777",
            "country_code": "US",
            "telephone_number": "906-322-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DANYA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704273908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704273908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rowe
• Sheri Lee Royer, LMSW
• David Lloyd Runyan, PHD
• Madison Elise Russell, AU.D.
• Danielle Marie Russo, PA-C
• Samuelson Associates
• Jenna R Sanderson
• Stephanie Sanderson
• Teresa Sanner, LBSW
• Muhammad Sardar, MD

• Family Nurse Practitioner in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.