Individual provider Active NPI

Kristine Anne Runfola

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1497152615
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7756 Issued in OK
Practice address
10159 E 11TH St Ste 201
Tulsa, OK 74128-3058
Phone
(918) 384-4547
Fax
(918) 384-4699
NPI assigned
Dec 3, 2014
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X 7756 OK Primary

Addresses

Primary practice location

10159 E 11TH St Ste 201
Tulsa, OK 74128-3058

Mailing address

10159 E 11TH St Ste 201
Tulsa, OK 74128-3058
Phone (918) 384-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514003787 OK Practitioner - Clinical Social Worker 7113445032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7756OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC CurrentSince Apr 28, 2025 Accepting new patients
Alliance Mental Health, LLC CurrentSince Apr 28, 2025 Accepting new patients
Oklahoma State University Past Accepting new patients
Resonance Center for Women, Inc. Past Accepting new patients

Locations

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

8988 S Sheridan Rd
Ste D2
Tulsa, OK 74133
Phone (970) 834-8610

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1497152615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10159 E 11TH ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741283058",
            "telephone_number": "918-384-4547",
            "fax_number": "918-384-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 E 11TH ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741283058",
            "telephone_number": "918-384-4547",
            "fax_number": "918-384-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNFOLA",
        "first_name": "KRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.