MRS. AUTUMN RUNYAN (NPI# 1215538194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215538194 |
| Entity Type | Individual |
| Full Name | MRS. AUTUMN RUNYAN |
| Practice Address |
721 Fawcett Ave Tacoma WA 98402-5502 |
| Practice Telephone | 2533833921 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
61107086 | WA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4103 219th St E, Spanaway, WA 983876881 | 2532197536 |
| Street Address |
721 FAWCETT AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757450 | Tacoma Detoxification Center | Substance Abuse Rehabilitation Facility | 721 Fawcett Ave, Suite 100, Tacoma, WA 98402-5502 | 2007-04-10 |
| 1033716196 | Reginald Rodriquez Zanders | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-10-02 |
| 1932716503 | Donald Peters | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-28 |
| 1891302741 | Mary Agau Mapiny | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1174130017 | Dana Wynn | Licensed Vocational Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-24 |
| 1437765534 | Regina Marie Harris | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-23 |
| 1801402177 | Jennifer E Geisert | Counselor | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-21 |
| 1023626066 | Georgina C May | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-07-15 |
| 1700402872 | Blase Christian Kissinger | Registered Nurse | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-24 |
| 1780200550 | Natascha Jackson | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954325 | Vanessa Cervantes | Registered Nurse | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2020-08-28 |
| 1043856560 | Teresa Elizabeth Keith | Registered Nurse | 815 S Pearl St, Tacoma, WA 98465-2117 | 2019-11-19 |
| 1164998563 | Sheldon Robert Brasel Jr. | Registered Nurse | 815 S Pearl St, Tacoma, WA 98465-2117 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205078615 | Delaine K Gates | Registered Nurse | 13310 N Wenas Rd, Selah, WA 98942-9130 | 2009-03-31 |
| 1942403506 | Patricia S Leckenby | Registered Nurse | 1120 8th Ave, #502, Seattle, WA 98101-2792 | 2007-06-08 |
| 1376625590 | Patrice Marie Van Duine | Registered Nurse | 2722 Colby Ave. Ste #328, Everett, WA 98201-3557 | 2006-10-19 |
| 1851365167 | Positive Outlook Associates Pllc | Registered Nurse | 8807 E Mill Plain Blvd, Vancouver, WA 98664-2532 | 2006-02-14 |
| 1295728244 | Terry Elizabeth Douglass | Registered Nurse | 6863 Eagle Harbor Dr Ne, Bainbridge Island, WA 98110-3103 | 2005-08-25 |
| 1821603069 | Matthew Harrison Volk | Registered Nurse | 502 E Boone Ave, Spokane, WA 99258-0001 | 2020-09-14 |
| 1528672540 | Tram-anh Hoang Thi | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-08 |
| 1558995217 | Mykah Conant Norville | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-03-02 |
| 1407495476 | Sheila Harris | Registered Nurse | 307 W Cota St, Shelton, WA 98584-2265 | 2019-12-23 |
| 1215574579 | Hannah Cantrell | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. AUTUMN RUNYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.