JUDITH ANN RUSSELL NP-C NPI 1982859237

NPI Information

NPI: 1982859237
Provider Name: JUDITH ANN RUSSELL, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2817 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804
Phone: (417) 625-2300
Get Directions

Judith Ann Russell, NP-C is a family nurse practitioner in Joplin, MO. Judith Ann Russell, NP-C NPI is 1982859237. 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:

2817 SAINT JOHNS BLVD
JOPLIN, MO
ZIP 64804-563
Phone: (417) 625-2300
Fax: (417) 625-2005

The NPI 1982859237 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 11/28/2008 and was last updated on 2/10/2012.

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	119130	MISSOURI	Yes

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
1	1982859237	MEDICAID	MISSOURI
2	200249990A	MEDICAID	OKLAHOMA
3	200587240C	MEDICAID	KANSAS
4	MA2082029	MEDICARE PIN	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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