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MRS. KELLY DERCHI RUSSO
NPI 1730925488
Nurse Practitioner - Family in Boston, MA

Active since July 02, 2024

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Derchi Russo NPPES

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

MRS. KELLY DERCHI RUSSO (NPI 1730925488) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN280616) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1730925488
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY DERCHI RUSSO
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address9 Mcdonald Farm RdWakefield, MA 01880-1578 · (781) 572-9263
Phone(617) 726-1231
Sole ProprietorNo
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1730925488 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 MA · RN280616
55 FRUIT ST, Boston, MA 02114
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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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Kelly Derchi Russo's NPI number?

The NPI number for Kelly Derchi Russo is 1730925488. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Kelly Derchi Russo located?

Kelly Derchi Russo practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-1231.

What is Kelly Derchi Russo'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 Kelly Derchi Russo was last updated on July 2, 2024. 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.