Barbara Mae Runyan, R.D.L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000142 Issued in GA

Practice address

3015 Veterans Pkwy S
Moultrie, GA 31788-6705

Phone

(229) 985-4815

Fax

(229) 890-1614

NPI assigned

Oct 23, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043393192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 VETERANS PKWY S",
            "address_2": "P.O. BOX 1177",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "229-985-4815",
            "fax_number": "229-890-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317886705",
            "telephone_number": "229-985-4815",
            "fax_number": "229-890-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "BARBARA",
        "middle_name": "MAE",
        "credential": "R.D.L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "000142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Joshua Rowan, MD
• Macy Micayle Rowan, DO
• Kathleen Rubino, ATC, LAT
• Nicole Forrester Rucker, FNP-BC
• Lisa Ann Rudolph-Watson, MD
• Kelly Suzanne Rychener, NP
• S R Adcock MD PC
• Sacred Black Butterfly Doula Services, LLC.
• Michael Saiyasombat, MD
• Robert L Sasine, M.D.

• Registered Dietitian in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.