Katherine Elizabeth Russell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

100736 Issued in FL

Practice address

2830 NW 41St St Ste G1
Gainesville, FL 32606-6667

Phone

(352) 222-6597

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1922786482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 NW 41ST ST STE G1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066667",
            "telephone_number": "352-222-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 NW 41ST ST STE G1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066667",
            "telephone_number": "352-222-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "100736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Rusin
• Lori Russ-Eisenschenk, PH.D.
• Joneshia L Russ
• Kody Eugene Russelburg
• Deidre Michelle Russell, CNM
• Lisa-Kay Russell
• Peggy Russell, PHD
• Jacqueline Jaudon Russo, M.D.
• Matthew Gerrard Russo
• Michael Russo

• Massage Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.