Active NPI
Katelynn Christine Russell
- Home Health Agency
- Durant, OK
National Provider Identifier
1992171391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 127 N 3Rd Ave
Durant, OK 74701-4700 - Phone
- (580) 931-3008
- Fax
- (580) 931-2008
- NPI assigned
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OK | Primary |
Addresses
Primary practice location
127 N 3Rd Ave
Durant, OK 74701-4700
Mailing address
127 N 3Rd Ave
Durant, OK 74701-4700
Phone (580) 931-3008
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texoma Rural Health Center | Past | Accepting new patients | |
| Southeastern Oklahoma Family Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Durant, OK
- NPI 1093131328
-
- Family Medicine Physician
- Tishomingo, OK
- NPI 1144698036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1992171391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N 3RD AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747014700",
"telephone_number": "580-931-3008",
"fax_number": "580-931-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N 3RD AVE",
"city": "DURANT",
"state": "OK",
"postal_code": "747014700",
"telephone_number": "580-931-3008",
"fax_number": "580-931-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "KATELYNN",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.