Lindsay Runnels, CSA, STFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

4681 Issued in KY

Practice address

1000 Highland Colony Pkwy Ste 27202
Ridgeland, MS 39157-2073

Phone

(769) 300-2946

Fax

(769) 300-2953

NPI assigned

Jun 7, 2017

Last updated

Jun 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsay Cavanaugh Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allure Plastics, P.a.

  • Plastic Surgery Physician
  • Ridgeland, MS
  • NPI 1013323765
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1740719491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EASTSIDE CV",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477793",
            "telephone_number": "601-842-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY STE 27202",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572073",
            "telephone_number": "769-300-2946",
            "fax_number": "769-300-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNELS",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "CSA, STFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "CAVANAUGH",
            "credential": "ST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Surgical Assistant in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Surgical Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.