Cory Rundle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2283364 Issued in MA

Practice address

2 Adams PL Ste 305
Quincy, MA 02169-7456

Phone

(617) 302-4194

NPI assigned

Oct 28, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crundle211519@direct.ochin.org

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.

• Afc Physicians of Massachusetts, PC

  • Urgent Care Clinic/Center
  • Malden, MA
  • NPI 1215379789
  Medicare reassignment NPD
• Katherine J. Atkinson, MD, PC

  • Internal Medicine Physician
  • Amherst, MA
  • NPI 1568598993
  Medicare reassignment NPD
• Old Colony Hospice Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Randolph, MA
  • NPI 1649615477
  NPD (past)

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386016400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CHARLES ST UNIT 9",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021486352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ADAMS PL STE 305",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697456",
            "telephone_number": "617-302-4194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "857-654-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2283364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386016400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Roy, MSW
• Julie B Rubin, SLP
• Alissa Pearl Rubinfeld
• Devin Ruiz, M.D.
• Michaela Catherine Rumley
• Desiree Dawn Russell
• Vinita B. Russell, LCSW
• Laura Rusu
• Jennifer Ryan, LSW
• Robert William Ryan, DDS

• Family Nurse Practitioner in Quincy, MA
• Providers in Quincy, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.