Active NPI
Susan Runion
- Massage Therapist
- Flagstaff, AZ
National Provider Identifier
1093431652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- APIM-957526
- Practice address
- 705 N Leroux St
Flagstaff, AZ 86001-3225 - Phone
- (415) 336-6128
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | AZ | ||
| Massage Therapist | 225700000X | APIM-957526 | AZ | Primary |
Addresses
Primary practice location
705 N Leroux St
Flagstaff, AZ 86001-3225
Mailing address
2578 Tovar TRL Unit 24
Flagstaff, AZ 86005-3909
Phone (928) 707-9761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APIM-957526 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1093431652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2578 TOVAR TRL UNIT 24",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860053909",
"telephone_number": "928-707-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N LEROUX ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013225",
"telephone_number": "415-336-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNION",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "APIM-957526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.