MR. MARK STANLEY RUNDEL (NPI# 1376600668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376600668 |
| Entity Type | Individual |
| Full Name | MR. MARK STANLEY RUNDEL |
| Credential | L.M.P. |
| Practice Address |
1605 12th Ave Suite 30 Seattle WA 98122-2467 |
| Mailing Address |
6743 5th Ave Nw Seattle WA 98117-5014 |
| Practice Telephone | 2063245744 |
| Mailing Telephone | 2063245744 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | MA00006014 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1605 12TH AVE SUITE 30 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548707961 | Alana Jaeck | Counselor | 1605 12th Ave, Seattle, WA 98122 | 2017-01-23 |
| 1003359019 | Catherine Keir | Counselor | 1605 12th Ave, Suite 5, Seattle, WA 98122-2467 | 2016-11-22 |
| 1467828020 | Andrew Nichols | Counselor | 1605 12th Ave, Suite 27, Seattle, WA 98122-2467 | 2015-08-18 |
| 1356580989 | Thomas Christian Long | Massage Therapist | 1605 12th Ave, 22, Seattle, WA 98122-2467 | 2009-02-04 |
| 1013185446 | Matthew D. Haggerty | Specialist | 1605 12th Ave, Suite #1, Seattle, WA 98122-2467 | 2008-02-19 |
| 1528114840 | Randall Lee Kenyon | Massage Therapist | 1605 12th Ave, Ste. #20, Seattle, WA 98122-2467 | 2007-01-27 |
| 1366591901 | Que Areste | Naturopath | 1605 12th Ave, Suite 16, Seattle, WA 98122-2467 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427228980 | Susan Schmitt | Rehabilitation Practitioner | 3213 Eastlake Ave E Apt A, Seattle, WA 98102-7127 | 2008-03-11 |
| 1508972894 | Northwest Therapy Center, LLC | Rehabilitation Practitioner | 320 Ne 97th St., Ste B, Seattle, WA 98115 | 2006-08-21 |
| 1578711677 | Seattle Spine & Rehabilitation Medicine Ps | Rehabilitation Practitioner | 3213 Eastlake Ave E, Suite A1, Seattle, WA 98102-7127 | 2008-09-03 |
| 1427180330 | John Maxwell King | Rehabilitation Practitioner | 11000 Lake City Way Ne, Suite 200, Seattle, WA 98125 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569518 | Forward Mobility | Rehabilitation Practitioner | 416 Daley St Apt A, Edmonds, WA 98020-3186 | 2017-06-28 |
| 1861511347 | Lesa Crane Hogue | Rehabilitation Practitioner | 1112 W 11th Ave, Spokane, WA 99204-3902 | 2007-03-28 |
| 1447212683 | Monica Ann Jordan | Rehabilitation Practitioner | 4010 E 15th Ave, Spokane, WA 99223-5244 | 2006-04-04 |
| 1790761286 | G Keith Mackenzie | Rehabilitation Practitioner | 715 S Cowley St, Suite 228, Spokane, WA 99202-1375 | 2005-12-16 |
| 1023646882 | Chhorn Houn Pho | Rehabilitation Practitioner | 8649 Martin Way E, Lacey, WA 98516-5812 | 2020-03-28 |
| 1952933632 | Kaylin Greene | Rehabilitation Practitioner | 10258 W Highway 2 Ste 4, Spokane, WA 99224-5459 | 2020-02-10 |
| 1700300563 | Kimberly Ann Foley | Rehabilitation Practitioner | 103 Washburn Pl, Lopez Island, WA 98261-5528 | 2017-08-02 |
| 1497292577 | Jordan Eble | Rehabilitation Practitioner | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2017-01-26 |
| 1427406164 | Lindsay Elizabeth Gutting | Rehabilitation Practitioner | 128 Old Beacon Hill Dr, Longview, WA 98632-5854 | 2016-06-02 |
| 1528414562 | Brian Allen Hennig | Rehabilitation Practitioner | Va Puget Sound Health Care System, 9600 Veterans Drive Southwest, Tacoma, WA 98493-0001 | 2016-05-09 |
| Find all providers with the same taxonomy | ||||
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| 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.