Jordan Rae Runck

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7413 Squire CT
West Chester, OH 45069-2380

Phone

(513) 847-4685

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1407316607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "ADDYSTON",
            "state": "OH",
            "postal_code": "450010255",
            "telephone_number": "513-470-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 SQUIRE CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692380",
            "telephone_number": "513-847-4685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Main St",
            "address_purpose": "LOCATION",
            "city": "Addyston",
            "state": "OH",
            "postal_code": "450012505",
            "country_code": "US",
            "telephone_number": "513-470-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNCK",
        "first_name": "JORDAN",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ruemping
• Justin Ruganza
• Olivier N Rukuza
• Briana Rullmann, AGACNP-BC
• Ryan Rummel
• James Keith Rusk, R.PH.
• Clare Jelagat Ruto
• RWK Medical Group, Inc.
• Amy Ryan, LPN
• Carey Ann Sabin, MED, BCBA

• Behavior Technician in West Chester, OH
• Providers in West Chester, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.