Individual provider Active NPI

Kristin Running, PH.D.

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1104603091
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6271 Issued in NC
Practice address
5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119
Phone
(630) 272-2894
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6271 NC Primary

Addresses

Primary practice location

5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119

Mailing address

9550 Community Commons LN Apt 347
Charlotte, NC 28277-4839
Phone (630) 272-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 25, 2023 through Jan 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6271NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin E. Running, PLLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (833) 356-6732

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1104603091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 COMMUNITY COMMONS LN APT 347",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774839",
            "telephone_number": "630-272-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "630-272-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNING",
        "first_name": "KRISTIN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.