Stephanie Louise Runcie, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60796687 Issued in WA

Practice address

710 5TH Ave NW Ste 300
Issaquah, WA 98027-2845

Phone

(425) 998-6542

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• The Garage Massage Therapy, PLLC

  • Massage Therapist
  • Carnation, WA
  • NPI 1194269456
  NPD (past)
• The Garage Massage Therapy, PLLC

  • Massage Therapist
  • Issaquah, WA
  • NPI 1841696002
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1487280814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 NEAL RD SE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980248006",
            "telephone_number": "425-786-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 5TH AVE NW STE 300",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272845",
            "telephone_number": "425-998-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNCIE",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60796687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristoffer John Almazan Rouse, PHD, MA, LMHC
• Rowan Ridge Healthcare, Inc.
• Carina Rowe, MS, BCBA, LBA
• Laura Rude, CHT
• Daniel Ruiz, LMT
• Nicoleta Mihaela Rus, MD
• Mark Russel
• Karen Russell
• Kathryn Russell, MS, CCC-SLP
• Mara Russell, D.C.

• Massage Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.