Individual provider Active NPI

Sherry Runion, BCBA

  • Case Manager/Care Coordinator
  • Stuart, FL
National Provider Identifier
1548548316
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019919800MedicaidFL

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.

Verify at the official NPI Registry.