SANDRA ALLISON RUSSELL NP-C NPI 1134671126

NPI Information

  • NPI: 1134671126
  • Provider Name: SANDRA ALLISON RUSSELL, NP-C
  • Classification: Clinical Nurse Specialist - 364SA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 STATE HIGHWAY 30 W
    NEW ALBANY, MS
    ZIP 38652
  • Phone: (662) 538-2438

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NPI Details

Sandra Allison Russell, NP-C is an adult health clinical nurse specialist in New Albany, MS with 10 years of experience. Sandra Allison Russell, NP-C NPI is 1134671126. 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:

200 STATE HIGHWAY 30 W
NEW ALBANY, MS
ZIP 38652-112
Phone: (662) 538-2438
Fax: (662) 538-2442

The NPI 1134671126 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 10/26/2016 and was last updated on 2/19/2025.

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
1364SA2200XClinical Nurse SpecialistAdult HealthAG0916010MISSISSIPPIYes

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: 11/21/2025

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