Kyle K. Runnels, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME149813 Issued in FL

Practice address

1058 Tamiami Trail
Suite 108 - 128
Sarasota, FL 34236-2416

Phone

(850) 714-4841

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1497966907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 TAMIAMI TRAIL",
            "address_2": "SUITE 108 - 128",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362416",
            "telephone_number": "850-714-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 TAMIAMI TRAIL",
            "address_2": "SUITE 108 - 128",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362416",
            "telephone_number": "850-714-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNELS",
        "first_name": "KYLE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "LA",
            "license": "201837",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME149813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21481",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Rudolph, RD
• Lynn Ruffolo, APRN
• Katerine Ruiz Arenas
• Cecille M Ruiz, DMD
• Robert D Runk, PA
• Lauren H Runnels, MD
• Charles W Rush, MD
• Ellie Claire Russell, IMT4219
• Kristina D Russell, D.M.D.
• Lisa Russell, LM

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

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