DENIECE RUSSELL-MCADORY NPI 1629408463

NPI Information

  • NPI: 1629408463
  • Provider Name: DENIECE RUSSELL-MCADORY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6705 W HIGHWAY 290 STE 607
    AUSTIN, TX
    ZIP 78735
  • Phone: (512) 843-5169

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NPI Details

Deniece Russell-mcadory is a psychiatric/mental health nurse practitioner in Austin, TX with 12 years of experience. Deniece Russell-mcadory NPI is 1629408463. 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:

6705 W HIGHWAY 290 STE 607
AUSTIN, TX
ZIP 78735-408
Phone: (512) 843-5169
Fax: (512) 856-6238

The NPI 1629408463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 8/19/2024.

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
1363L00000XNurse PractitionerR874534MISSISSIPPINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health1058694TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102672568MEDICAIDMISSISSIPPI

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: 3/30/2025

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