Kimberly Christine Runyon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27076871A Issued in IN

Practice address

7133 Meadow TRL
Brownsburg, IN 46112-1388

Phone

(708) 595-8622

NPI assigned

Sep 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1427770387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N DARLINGTON ST",
            "city": "JAMESTOWN",
            "state": "IN",
            "postal_code": "461479067",
            "telephone_number": "708-595-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 MEADOW TRL",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121388",
            "telephone_number": "708-595-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "KIMBERLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27076871A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Matrixcare",
            "affiliation": "N",
            "address_1": "7133 Meadow Trl",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461121388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Audrey Rose-Conley, BCBA
• Sarah Rose, RBT
• Shelby Rothenberger
• Michelle Rowley, RBT
• David Runana
• Talia Runyon
• Rusana Rush, MA, BCBA
• Mary Kathleen Russo, MS OTR/L
• Melissa Rutemoeller, PSY.D.
• Jessica Ryker

• Licensed Practical Nurse in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.