Sara Butler Russell, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

A002995 Issued in AR

Practice address

3302 N Northhills Blvd
Fayetteville, AR 72703-4008

Phone

(479) 582-3366

NPI assigned

Oct 25, 2006

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

Other identifiers 1

Other names 1

• Sara Patterson Russell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1942384615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034008",
            "telephone_number": "479-582-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 E Emma Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727644634",
            "country_code": "US",
            "telephone_number": "479-751-7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARA",
        "middle_name": "BUTLER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A002995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168375758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.russell@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3302 N Northhills Blvd",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RUSSELL",
            "middle_name": "PATTERSON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenny Rummell, LPC
• Michelle Rushano, PHARMD
• Bethany Anne Russell, LCSW
• Mary Margaret Russell, MS, CF-SLP
• Ryan Russell
• Margaret Robinson Rutherford, PH.D.
• Kelsy Rutledge
• Keilahrose Rebekah Rutz
• RWL Medical Services LLC
• RXN Chiropractic and Sports Rehabilitation, LLC

• Women's Health Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Women's Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.