DR. AMANDA MARIE RUNYAN (NPI# 1558796862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796862 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE RUNYAN |
| Credential | PHD |
| Practice Address |
200 Springs Rd Bedford MA 01730-1114 |
| Practice Telephone | 7816874188 |
| Mailing Telephone | 7816874188 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2493 | KS | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| Street Address |
200 SPRINGS RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1740889161 | Elias Mbogo | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-10-19 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1669099131 | Robert Jurgens Parker | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1962029314 | Philip Tah | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1396368387 | Douglas Allen | Optometrist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-05-25 |
| 1407476963 | Stacy Kathy Tsionis | Registered Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-04-24 |
| 1063040962 | Garret Sacco | Psychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-03-28 |
| 1770123838 | Hannah Murphy | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| 1164062220 | Spencer Logan Diehl | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747866 | James Victor Lynch IIi | Student in an Organized Health Care Education/Training Program | 932 Clear View Dr, Bedford, TX 76021-3310 | 2020-07-20 |
| 1033736814 | Samantha Duclos | Student in an Organized Health Care Education/Training Program | 163 Hitching Post Ln, Bedford, NH 03110-4928 | 2020-06-29 |
| 1700328598 | Janise Marie Stennies | Student in an Organized Health Care Education/Training Program | 111 Logan St, Bedford, OH 44146-2754 | 2016-11-09 |
| 1669861365 | Mercedes Doss | Student in an Organized Health Care Education/Training Program | 5748 Daniel Dr, Bedford, OH 44146-2902 | 2015-01-19 |
| 1114421120 | Derrick Pizarro | Student in an Organized Health Care Education/Training Program | 7302 Avalon Dr, Bedford, MA 01730-2086 | 2018-03-23 |
| 1295125896 | Catherine Nguyen | Student in an Organized Health Care Education/Training Program | 220 S River Rd, Bedford, NH 03110-6819 | 2015-02-03 |
| 1114156353 | John Gerard Smolinsky | Student in an Organized Health Care Education/Training Program | 200 Springs Rd, Bedford, MA 01730-1114 | 2009-07-09 |
| 1134388804 | Janet Marie Johnson | Student in an Organized Health Care Education/Training Program | 200 Springs Rd, Bedford, MA 01730-1114 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
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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.