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KATHRYN A RUSSELL DC
NPI 1174291975
Chiropractor in Niceville, FL

Active since September 06, 2021Accepts Medicare Assignment
350 JOHN SIMS PKWY W UNIT 401, NICEVILLE, FL 32578(850) 678-8049 Get Directions Write a Review

NPPES record last updated: June 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2023, Aug 16, 2022, Sep 6, 2021 (3 updates tracked since 2021).

About Kathryn A Russell Dc NPPES

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

KATHRYN A RUSSELL DC (NPI 1174291975) is an individual chiropractor in Niceville, Florida, licensed in Florida (13696) and active in the NPI registry since September 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1174291975
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKATHRYN A RUSSELLCredential: DC
Location Address350 JOHN SIMS PKWY W UNIT 401Niceville, FL 32578-1963
Mailing Address460 S Rosemary Ave Apt 307West Palm Beach, FL 33401-5799 · (850) 226-3911
Phone(850) 678-8049
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2021
Last NPPES UpdateJune 18, 20233 updates tracked since enumeration
NPPES CertifiedJune 18, 2023
✔ NPI 1174291975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 13696
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
350 JOHN SIMS PKWY W UNIT 401, Niceville, FL 32578
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn A Russell Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971967118
PECOS Enrollment IDI20230907000035

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 Kathryn Russell's NPI number?

The NPI number for Kathryn Russell is 1174291975. It was assigned to this individual provider in the NPPES registry on September 6, 2021.

Where is Kathryn Russell located?

Kathryn Russell practices at 350 John Sims Pkwy W Unit 401, Niceville, FL 32578. The listed phone number is (850) 678-8049.

What is Kathryn Russell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kathryn Russell enrolled in Medicare?

Yes. Kathryn Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Russell accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint list Kathryn Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Russell was last updated on June 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.