MRS. AKIMYO CHAMPION RUSSELL FNP NPI 1295928570

NPI Information

NPI: 1295928570
Provider Name: MRS. AKIMYO CHAMPION RUSSELL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LOUDOUN MEDICAL GROUP PC

PECOS Registration: Yes

Address:
6200 OLD FRANCONIA RD STE A
ALEXANDRIA, VA
ZIP 22310
Phone: (703) 884-8494
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MRS. Akimyo Champion Russell, FNP is a family nurse practitioner in Alexandria, VA with 18 years of experience. MRS. Akimyo Champion Russell, FNP NPI is 1295928570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6200 OLD FRANCONIA RD STE A
ALEXANDRIA, VA
ZIP 22310-408
Phone: (703) 884-8494
Fax: (703) 313-0178

The NPI 1295928570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 7/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024170178	VIRGINIA	Yes
2	363LF0000X	Nurse Practitioner	Family	5004213	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	R178581	MARYLAND	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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