Active NPI
Cristina Latoya Russell, RN
- Infection Control Registered Nurse
- Waterbury, CT
National Provider Identifier
1891447934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infection Control Registered Nurse
- License
- 131575
- Practice address
- 72 Elmwood Ave
Waterbury, CT 06710-1529 - Phone
- (347) 235-7817
- NPI assigned
- Jan 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infection Control Registered Nurse | 163WI0600X | 131575 | CT | Primary |
Addresses
Primary practice location
72 Elmwood Ave
Waterbury, CT 06710-1529
Mailing address
72 Elmwood Ave
Waterbury, CT 06710-1529
Phone (347) 235-7817
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131575 | CT | MD | Infection Control Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1891447934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 ELMWOOD AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101529",
"telephone_number": "347-235-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 ELMWOOD AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067101529",
"telephone_number": "347-235-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "CRISTINA",
"middle_name": "LATOYA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "CT",
"license": "131575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.