KATHY RUSSELL RN NPI 1174793525

NPI Information

  • NPI: 1174793525
  • Provider Name: KATHY RUSSELL, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 100 BREWSTER BLVD
    CAMP LEJEUNE, NC
    ZIP 28547
  • Phone: (910) 449-1120

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NPI Details

Kathy Russell, RN is a psychiatric/mental health registered nurse in Camp Lejeune, NC. Kathy Russell, RN NPI is 1174793525. 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:

100 BREWSTER BLVD
CAMP LEJEUNE, NC
ZIP 28547-575
Phone: (910) 449-1120
Fax: (910) 450-4377

The enumeration date for this NPI number is 3/1/2008 and was last updated on 11/26/2019.

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
1163W00000XRegistered Nurse200126NORTH CAROLINANo
2163WA0400XRegistered NurseAddiction (Substance Use Disorder)200126NORTH CAROLINANo
3163WP0808XRegistered NursePsychiatric/Mental Health200126NORTH CAROLINAYes

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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