Active NPI
Kristen Russell, APRN
- Family Nurse Practitioner
- Spartanburg, SC
National Provider Identifier
1891267290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RXF27267
- Practice address
- 100 East Wood St Suite 100
Spartanburg, SC 29303 - Phone
- (864) 583-1222
- NPI assigned
- Dec 23, 2018
- Reactivated
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3012945 | KY | |
| Family Nurse Practitioner | 363LF0000X | RXF27267 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 3012945 | KY |
Addresses
Primary practice location
100 East Wood St Suite 100
Spartanburg, SC 29303
Mailing address
100 E Wood St Ste 100
Spartanburg, SC 29303-3001
Phone (864) 583-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RXF27267 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Plastic Surgery PA | Current | Accepting new patients |
Locations
100 E Wood St
Ste 100
Spartanburg, SC 29303
Phone (864) 573-6500
Interoperability endpoints
- krussell@hardinmemorial.gwaydirect.com
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.
-
- Ambulatory Surgical Clinic/Center
- Spartanburg, SC
- NPI 1659323624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1891267290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E WOOD ST STE 100",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033001",
"telephone_number": "864-583-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST WOOD ST SUITE 100",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-583-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "KRISTEN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-23",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"deactivation_date": "2026-02-04",
"reactivation_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3012945",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "RXF27267",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.