KATHERINE MARY RUSSO
NPI 1093594210
Licensed Practical Nurse in West Babylon, NY

Q: What is Katherine Russo's NPI number?

The NPI number for Katherine Russo is 1093594210. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Katherine Russo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Russo was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2023

193 BROADWAY, WEST BABYLON, NY 11704(631) 339-2668 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Katherine Mary Russo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE MARY RUSSO (NPI 1093594210) is an individual licensed practical nurse in West Babylon, New York, licensed in New York (304564-01) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1093594210

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKATHERINE MARY RUSSO

Location Address193 BROADWAYWest Babylon, NY 11704-5633

Mailing Address193 BroadwayWest Babylon, NY 11704-5633 · (631) 339-2668

Phone(631) 339-2668

Sole ProprietorNo

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1093594210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 304564-01

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

193 BROADWAY, West Babylon, NY 11704

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Russo's NPI number?

The NPI number for Katherine Russo is 1093594210. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Katherine Russo located?

Katherine Russo practices at 193 Broadway, West Babylon, NY 11704. The listed phone number is (631) 339-2668.

What is Katherine Russo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Katherine Russo was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.