Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780828343 Individual Practitioner Female Practitioner

Kimberly Sue Russell , NURSE, LPN

Licensed Practical Nurse • Centerville, OH

Professional Overview & Biography Verified Profile Summary

Kimberly Russell, NURSE, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Centerville, OH. Practice services are available at 81 RHOADS CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

81 Rhoads Center Dr

Centerville, OH 454583859

Telephone 9374351161

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Centerville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Centerville, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN109782

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

State License OH 109782

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2586867 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Samantha Adams , LPN

Licensed Practical Nurse

NPI 1881857696

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 27, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2009

Registered at 81 RHOADS CENTER DR, CENTERVILLE, OH 454583859 (Tel: 9374351161)

📍
Updated Business Mailing Address April 27, 2009

Registered at 1453 COMMONWEALTH DR, XENIA, OH 453854801 (Tel: 9372390663)

👤
Provider Name / Credentials Updated April 27, 2009

Recorded as KIMBERLY RUSSELL, NURSE/LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2009

Licensed Practical Nurse (License #PN109782 in OH)

🟢
Initial NPI Registration & Enumeration April 27, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780828343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2009
Last Update: April 27, 2009
Sole Proprietor: Yes

Mailing Address

1453 Commonwealth Dr

Xenia, OH 453854801

Phone: 9372390663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.