NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keith Aniel Russworm Jr., NP

Nurse Practitioner in Pine Bluff, AR · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497263222

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Keith Aniel Russworm Jr.
Credential NP
Sex Male
Practice address 1600 W 40th Ave, Pine Bluff, AR, 71603
Phone (870) 541-7100
Enumeration date Jan 15, 2018
Last updated in NPPES Jan 25, 2018

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License A005484 (AR) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Keith Russworm?
The National Provider Identifier (NPI) for Keith Russworm is 1497263222, a Type 1 (individual) record in the CMS NPPES registry.
Where does Keith Russworm practice?
The practice location on file with NPPES is in Pine Bluff, AR. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-25.