Active NPI
Denise Blackard Russell, RN, FNP-C
- Nurse Practitioner
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP114207
- Practice address
- 399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595 - Phone
- (972) 238-1848
- Fax
- (972) 238-8735
- NPI assigned
- Nov 12, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP114207 | TX | Primary |
Addresses
Primary practice location
399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595
Mailing address
399 W Campbell Rd
Suite 101
Richardson, TX 75080-3595
Phone (972) 238-1848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624
399 W Campbell Rd
Suite 101
Richardson, TX 75080-3615
Phone (972) 238-1848
Hospital & facility affiliations
- Methodist Richardson Medical Center
- Medical City Plano
- Medical City Dallas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP114207 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients | |
| Richardson Physician Alliance | Past | Accepting new patients |
Locations
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
399 W Campbell Rd
Ste 101
Richardson, TX 75080
Phone (972) 238-1848
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- drussell30795@dm.mhd.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1144277542
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972830909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 W CAMPBELL RD",
"address_2": "SUITE 101",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803595",
"telephone_number": "972-238-1848",
"fax_number": "972-238-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 W CAMPBELL RD",
"address_2": "SUITE 101",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803595",
"telephone_number": "972-238-1848",
"fax_number": "972-238-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "DENISE",
"middle_name": "BLACKARD",
"name_prefix": "Mrs.",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP114207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.