Myranda Runneberg

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111236 Issued in IA

Practice address

1037 19TH St SW
Mason City, IA 50401-6436

Phone

(641) 423-0428

NPI assigned

Oct 13, 2021

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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerme Asl, LLC

  • Multi-Specialty Clinic/Center
  • Fort Madison, IA
  • NPI 1376138305

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297
  Medicare reassignment NPD
• Empowerme Asl, LLC

  • Rehabilitation Clinic/Center
  • Grand Island, NE
  • NPI 1447944657
  NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1437811775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 330TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504368062",
            "telephone_number": "641-590-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016436",
            "telephone_number": "641-423-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNEBERG",
        "first_name": "MYRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "111236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jezanna Rooney, ARNP
• Roots Nutrition Counseling Inc.
• Sally K Roper, ARNP,FNP
• Jeffrey K Rowe, M.D.
• David A Ruen, MD
• Craig Phillip Runyan, PHARMD
• Kyle William Ryan, PA
• Angie Sailor, BA
• Amir Sajadian, MD, HMDC
• Salvation Army Adult Day Health Center

• Occupational Therapist in Mason City, IA
• Providers in Mason City, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.

Verify at the official NPI Registry.