MRS. KATHRYN NIKOLE RUSSELL FNP-BC
NPI 1902149800
Nurse Practitioner - Primary Care in Memphis, TN

Active since March 29, 2013
3900 NEW COVINGTON PIKE STE 112, MEMPHIS, TN 38128(901) 376-6821(901) 609-7747 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 16, 2017 (2 updates tracked since 2017).

About Mrs. Kathryn Nikole Russell Fnp-bc NPPES

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

MRS. KATHRYN NIKOLE RUSSELL FNP-BC (NPI 1902149800) is an individual primary care provider in Memphis, Tennessee, licensed in Tennessee (17414) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1902149800
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KATHRYN NIKOLE RUSSELLCredential: FNP-BC
Location Address3900 NEW COVINGTON PIKE STE 112Memphis, TN 38128-2526
Mailing Address3900 New Covington Pike Ste 112Memphis, TN 38128-2526 · (901) 376-6821 · Fax (901) 609-7747
Fax(901) 609-7747
Sole ProprietorYes
Enumeration DateMarch 29, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1902149800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TN · 17414
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A810604 (MS), 14717 (TN)
3900 NEW COVINGTON PIKE STE 112, Memphis, TN 38128

Other Names 1

Professional Name (2)Ms. Kathryn N Smith Fnp-bc

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
3900 NEW COVINGTON PIKE STE 112
MEMPHIS, TN 38128

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 1902149800. It was assigned to this individual provider in the NPPES registry on March 29, 2013. The provider is also known as Ms. Kathryn N Smith Fnp-Bc.

Where is Kathryn Russell located?

Kathryn Russell practices at 3900 New Covington Pike Ste 112, Memphis, TN 38128. The listed phone number is (901) 376-6821.

What is Kathryn Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kathryn Russell was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.