Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KIMBERLY TANIS RUSSELL MD
NPI 1720130305
Family Medicine in Fort Cavazos, TX

Active since January 17, 2007
36065 SANTE FE AVE, FORT CAVAZOS, TX 76544(254) 288-8932 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Oct 13, 2016 (2 updates tracked since 2016).

About Dr. Kimberly Tanis Russell Md NPPES

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

DR. KIMBERLY TANIS RUSSELL MD (NPI 1720130305) is an individual family medicine provider in Fort Cavazos, Texas, licensed in Texas (N0422) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720130305
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY TANIS RUSSELLCredential: MD
Location Address36065 SANTE FE AVEFort Cavazos, TX 76544-5044
Mailing Address36000 Darnall LoopFort Hood, TX 76544-5095
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1720130305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · N0422 Licensed in PA · MD069021L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36065 SANTE FE AVE, Fort Cavazos, TX 76544

Other Providers at the Same Location NPPES 13

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

Registered Nurse (Case Management)
36065 SANTE FE AVE
FORT HOOD, TX 76544
Social Worker (Clinical)
36065 SANTE FE AVE
FORT CAVAZOS, TX 76544
Obstetrics & Gynecology (Obstetrics)
36065 SANTE FE AVE
FORT HOOD, TX 76544
Emergency Medicine
36065 SANTE FE AVE, ATTN: RESIDENCY CENTER
FORT HOOD, TX 76544
Nurse Anesthetist, Certified Registered
36065 SANTE FE AVE
FORT HOOD, TX 76544
Nurse Anesthetist, Certified Registered
36065 SANTE FE AVE, CARL R.DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
Registered Nurse (Ambulatory Care)
36065 SANTE FE AVE
FORT HOOD, TX 76544
Social Worker (Clinical)
36065 SANTE FE AVE
FORT HOOD, TX 76544

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 Kimberly Russell's NPI number?

The NPI number for Kimberly Russell is 1720130305. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kimberly Russell located?

Kimberly Russell practices at 36065 Sante Fe Ave, Fort Cavazos, TX 76544. The listed phone number is (254) 288-8932.

What is Kimberly Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Russell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.