Jacqueline Rene Runner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R111672 Issued in MD

Practice address

2114 Generals Hwy
Annapolis, MD 21401-7488

Phone

(888) 808-6483

NPI assigned

Jun 27, 2006

Last updated

Nov 19, 2014By the provider in NPPES

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 names 1

• Jacqueline Rene Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Harcart Health Holdings LLC

  dba Headfirst Sports Injury and Concussion Care

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Annapolis, MD
  • NPI 1679977755
  NPD (past)
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)
• Nova Medical and Urgent Care Center, Inc.

  dba Nova Medical Group, Nova Urgent Care

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1396772257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 DEFENSE HWY",
            "address_2": "SUITE C",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142403",
            "telephone_number": "443-332-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 GENERALS HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017488",
            "telephone_number": "888-808-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNER",
        "first_name": "JACQUELINE",
        "middle_name": "RENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R111672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SMITH",
            "middle_name": "RENE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heather Powers Ruland, DDS
• John P Ruland, DDS
• Louis J Ruland Jr., DDS
• Louis Joseph Ruland III, M.D.
• Michael P Ruland, DDS
• Ann Ruppel, OTR
• Joy Michelle Rush, LGP14788
• Amy Russ
• Jessica Brannon Russell, M.D.
• John Thomas Russell, DDS

• Family Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.