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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BREANNA RUSSELL
NPI 1548170442
Nurse Practitioner - Family in Charleston, WV

Active since September 11, 2026
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-8199 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Breanna Russell NPPES

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

BREANNA RUSSELL (NPI 1548170442) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (127590) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1548170442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA RUSSELL
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing AddressPo Box 26Amma, WV 25005-0026 · (304) 651-8542
Phone(304) 388-8199
Sole ProprietorNo
Enumeration DateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1548170442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 127590
3200 MACCORKLE AVE SE, Charleston, WV 25304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON DUBA DO
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-4172
WILLIAM JARRETT WISEMAN BSN, RN, CCRN-CMC
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 993-1088
MS. BRENDA LOU KEEFER ANP
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-3436
LOUISE NAYLOR
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Kanawha County (304) 388-4077
DR. JEFFREY V ASHLEY M.D.
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
TIFFANY D. DUTTON CRNA
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Kanawha County (304) 388-5503
JENNIFER D VALDEZ
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
CHRISTOPHER S MULLINS
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 688-0228

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 Breanna Russell's NPI number?

The NPI number for Breanna Russell is 1548170442. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Where is Breanna Russell located?

Breanna Russell practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-8199.

What is Breanna Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Breanna Russell was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.