Active NPI
Sherry Runion, BCBA
- Case Manager/Care Coordinator
- Stuart, FL
National Provider Identifier
1548548316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2400 SE Federal Hwy Ste 220
Stuart, FL 34994-4556 - Phone
- (913) 360-0908
- NPI assigned
- Jul 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24688 | FL | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2400 SE Federal Hwy Ste 220
Stuart, FL 34994-4556
Mailing address
5308 Echo Pines Cir W
Fort Pierce, FL 34951-3320
Phone (913) 360-0908
Other practice location 1
1106 N 155th St
Suite B
Basehor, KS 66007-7100
Phone (913) 662-7071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019919800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1548548316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 ECHO PINES CIR W",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349513320",
"telephone_number": "913-360-0908",
"fax_number": "913-360-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SE FEDERAL HWY STE 220",
"city": "STUART",
"state": "FL",
"postal_code": "349944556",
"telephone_number": "913-360-0908"
}
],
"practiceLocations": [
{
"address_1": "1106 N 155th St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Basehor",
"state": "KS",
"postal_code": "660077100",
"country_code": "US",
"telephone_number": "913-662-7071",
"fax_number": "913-662-7072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNION",
"first_name": "SHERRY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-16-24688",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019919800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.