Individual provider Active NPI

Emily Dail Russo, APRN

  • Family Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1992441521
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019478 Issued in FL
Practice address
6833 Medical View LN
Zephyrhills, FL 33542-6614
Phone
(813) 780-6687
NPI assigned
May 6, 2022
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019478 FL Primary

Addresses

Primary practice location

6833 Medical View LN
Zephyrhills, FL 33542-6614

Mailing address

6833 Medical View LN
Zephyrhills, FL 33542-6614
Phone (813) 780-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11019478FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aung Tun MD PA CurrentSince May 8, 2022 Accepting new patients
American Heart Institute Inc CurrentSince May 8, 2022 Accepting new patients

Locations

6833 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 780-6687

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1992441521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 MEDICAL VIEW LN",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426614",
            "telephone_number": "813-780-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 MEDICAL VIEW LN",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426614",
            "telephone_number": "813-780-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "EMILY",
        "middle_name": "DAIL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.