Bernadette Jamie Rundhaug, MED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-7085 Issued in ID

Practice address

701 Lewiston St
Cottonwood, ID 83522

Phone

(208) 962-3251

NPI assigned

Mar 9, 2007

Last updated

Oct 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Mary's Hospital Inc

  dba St. Mary's Health

  • Family Medicine Physician
  • Nezperce, ID
  • NPI 1366480394
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1003948845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "835220137",
            "telephone_number": "208-962-3251",
            "fax_number": "208-962-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LEWISTON ST",
            "city": "COTTONWOOD",
            "state": "ID",
            "postal_code": "83522",
            "telephone_number": "208-962-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Orofino",
            "state": "ID",
            "postal_code": "83544",
            "country_code": "US",
            "telephone_number": "208-476-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Oak",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-935-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNDHAUG",
        "first_name": "BERNADETTE",
        "middle_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-7085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley J Minnehan, MD
• Denise Marie Nuxoll, RPH
• Jeremy D Ostrander, MD
• April Lynn Parsells, RDN
• Christopher P Roach, PT
• Jamie Scheffler, PT
• Alvin Jackson Secrest III, MD
• Ronald L Sigler, MD
• Joseph Smith, DPT
• St. Mary's Hospital Inc (St. Mary's Hospital Physical Therapy)

• Professional Counselor in Cottonwood, ID
• Providers in Cottonwood, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.