Individual provider Active NPI

Jennifer M-E Runner, RESIDENT IN MFT

  • Student in an Organized Health Care Education/Training Program
  • Woodbridge, VA
National Provider Identifier
1255797189
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
13895 Hedgewood Dr
Suite 229
Woodbridge, VA 22193-7924
Phone
(571) 659-9961
Fax
(571) 659-9964
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

13895 Hedgewood Dr
Suite 229
Woodbridge, VA 22193-7924

Mailing address

13895 Hedgewood Dr
Suite 229
Woodbridge, VA 22193-7924
Phone (571) 659-9961

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Hearts Family Counseling, LLC Past Accepting new patients

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1255797189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR",
            "address_2": "SUITE 229",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937924",
            "telephone_number": "571-659-9961",
            "fax_number": "571-659-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR",
            "address_2": "SUITE 229",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937924",
            "telephone_number": "571-659-9961",
            "fax_number": "571-659-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNER",
        "first_name": "JENNIFER",
        "middle_name": "M-E",
        "credential": "RESIDENT IN MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.