Active NPIIndividual provider

Rebecca L Russo, DNP, FNP-C

Nurse Practitioner in Brooklyn, Connecticut

NPI Number1093119216
Practice location
538B Providence RD, Brooklyn, CT 06234-3413
Fax
959-269-0016
Last updated
April 10, 2026

Rebecca Louise Russo is a Nurse Practitioner based in Brooklyn, CT. Rebecca Louise Russo practices in Brooklyn, CT and has the professional credentials of DNP, FNP-C. The NPI Number for Rebecca Louise Russo is 1093119216 and holds a License No. 5951 (CT). The current practice location address for Rebecca Louise Russo is 538B Providence RD, Brooklyn, CT 06234-3413 and can be reached out via phone at 959-269-0019 and via fax at 959-269-0016.

Provider Profile Details

NPI Number
1093119216
Provider Name
Rebecca Louise Russo
Credential
DNP, FNP-C
Provider Entity Type
Individual
Gender
Female
Address
538B Providence RD, Brooklyn, CT 06234-3413
Phone Number
959-269-0019
Fax Number
959-269-0016
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2014
Last Update Date
April 10, 2026
Certification Date
April 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
538B Providence RD
Brooklyn, CT 06234-3413
Zip
06234-3413
Phone Number
959-269-0019
Fax Number
959-269-0016
Brooklyn, CT 06234Get directions →

Provider Business Mailing Address Details

Address
Po Box 40
Southbridge, MA 01550-0040
City
Southbridge
State
MA
Zip
01550-0040
Phone Number
508-909-7799
Fax Number
508-764-2432

License Information

License Number (1)
5951
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN252020
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
5951
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary
License Number (4)
88008
License State (4)
CT
Taxonomy (4)
Registered Nurse, Urology · 163WU0100X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca L Russo, DNP, FNP-C?

The NPI number of Rebecca L Russo, DNP, FNP-C is 1093119216. It was assigned on October 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Rebecca L Russo, DNP, FNP-C?

Rebecca L Russo, DNP, FNP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 5951.

Where does Rebecca L Russo, DNP, FNP-C practice?

The practice location is 538B Providence RD, Brooklyn, CT 06234-3413. The office can be reached at 959-269-0019 (phone) or 959-269-0016 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093119216 directly on the NPPES registry website.

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