Active NPI
Carol Reid Runyan, AUD
- Audiologist-Hearing Aid Fitter
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2101001591
- Practice address
- 701 N State of Franklin Rd Ste 5
Johnson City, TN 37604-3645 - Phone
- (423) 928-9285
- Fax
- (423) 328-0795
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001303 | VA | |
| Audiologist | 231H00000X | A0000001097 | TN | |
| Hearing Instrument Specialist | 237700000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | 2101001591 | VA | Primary |
Addresses
Primary practice location
701 N State of Franklin Rd Ste 5
Johnson City, TN 37604-3645
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (800) 328-8602
Other practice location 1
9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203
Phone (865) 693-6065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2680 S Ave B
Yuma, AZ 85364-6901
Phone (928) 336-1476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0000001097 | TN | MD | Audiologist |
| 2201001303 | VA | MD | Audiologist |
| 2101001591 | VA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Bristol Regional Speech & Hearing Center | Audiologist | Past | Accepting new patients |
| Bristol Regional Speech & Hearing Center | Audiologist | Past | Accepting new patients |
| Associated Hearings & Diagnostics | Past | Accepting new patients | |
| Associated Hearings & Diagnostics | Audiologist | Past | Accepting new patients |
Locations
2680 S Avenue B
Yuma, AZ 85364
Phone (928) 336-1476
2851 S Avenue B
Ste 2504
Yuma, AZ 85364
Phone (928) 271-6105
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
-
- Audiologist
- Richlands, VA
- NPI 1053402750
-
- Hearing and Speech Clinic/Center
- Richlands, VA
- NPI 1477978153
-
- Speech-Language Pathologist
- Bristol, VA
- NPI 1417979543
Audiologist
-
- Hearing and Speech Clinic/Center
- Bristol, VA
- NPI 1902063472
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1316929458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "800-328-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N STATE OF FRANKLIN RD STE 5",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376043645",
"telephone_number": "423-928-9285",
"fax_number": "423-328-0795"
}
],
"practiceLocations": [
{
"address_1": "9430 Park West Blvd Ste 330",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379234203",
"country_code": "US",
"telephone_number": "865-693-6065",
"fax_number": "865-531-6325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNYAN",
"first_name": "CAROL",
"middle_name": "REID",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001303",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A0000001097",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2101001591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.