Individual provider Active NPI

Kathryn Russo

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1942655642
Registry record updated Apr 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2951 Siena Heights Dr
524
Henderson, NV 89052-3872
Phone
(740) 221-8290
NPI assigned
Apr 30, 2016
Last updated
Apr 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

2951 Siena Heights Dr
524
Henderson, NV 89052-3872

Mailing address

2951 Siena Heights Dr
524
Henderson, NV 89052-3872
Phone (740) 221-8290

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

NPI Registry JSON

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

{
    "created_epoch": "1461974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461974400000",
    "number": "1942655642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SIENA HEIGHTS DR",
            "address_2": "524",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523872",
            "telephone_number": "740-221-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 SIENA HEIGHTS DR",
            "address_2": "524",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523872",
            "telephone_number": "740-221-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-30",
        "last_updated": "2016-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; 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.