Russell E Little, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

92256 Issued in TN

Practice address

104 E Main St
Rutherford, TN 38369-9711

Phone

(731) 665-7741

Fax

(731) 665-7750

NPI assigned

May 22, 2006

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Tennessee, HSC, College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russelllittle@rela-tn.direct.office.nextgen.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Rutherford Medical Clinic LLC

  • Family Nurse Practitioner
  • Rutherford, TN
  • NPI 1972772242

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Rutherford Medical Clinic LLC

  • Family Nurse Practitioner
  • Rutherford, TN
  • NPI 1972772242
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Medical Center Home Health, LLC

  • Home Health Agency
  • Jackson, TN
  • NPI 1932355997
  Care Compare affiliation
• Milan General Hospital, Inc.

  dba West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453
  Care Compare affiliation

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1962456061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "RUTHERFORD",
            "state": "TN",
            "postal_code": "383690370",
            "telephone_number": "731-665-7741",
            "fax_number": "731-665-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "RUTHERFORD",
            "state": "TN",
            "postal_code": "383699711",
            "telephone_number": "731-665-7741",
            "fax_number": "731-665-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "RUSSELL",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "92256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Smiles Family Dentistry
• Amy Theriac Duncan, DDS
• Hester Drugs Inc
• Bill H Hester, D.PH
• Candace Clanton McCaig, PHARM D.
• Thomas Nelson, M.D.
• Casey Oliver, PHARMD
• The Rutherford Medical Clinic LLC
• Thomas H Nelson MD

• Family Nurse Practitioner in Rutherford, TN
• Providers in Rutherford, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.