Cassandra Rosalie Runge, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-010071 Issued in AZ

Practice address

3535 E Brown Rd Ste 101
Mesa, AZ 85213-5602

Phone

(480) 924-1987

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Collective Arizona, LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1194374876
  NPD
• Wellness Collective Chicago, LLC

  • Clinic/Center
  • Chicago, IL
  • NPI 1023594181
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1740762541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135602",
            "telephone_number": "480-924-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E BROWN RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135602",
            "telephone_number": "480-924-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W Huron St Ste 231",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606548475",
            "country_code": "US",
            "telephone_number": "773-706-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "CASSANDRA",
        "middle_name": "ROSALIE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-001434",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rumar Healthcare
• Randall S Ruminson, DDS
• Heidi Rummler
• Matthew Andrew Rundio, D.MIN, MSMFT, LAMFT
• Mark Anthony Runfola, M.D.
• Rebecca Runnels, OTR/L
• Nema Senol Runyan, M.D.
• Hailey Rupp
• Rural Metro Corporation
• Charles Raymond Rush, D.C.

• Acupuncturist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.