Individual provider Active NPI

Donna R. Runnalls, LMFT

  • Marriage & Family Therapist
  • Capitola, CA
National Provider Identifier
1750509949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT12916 Issued in CA
Practice address
519 Capitola Ave
Suite B
Capitola, CA 95010-2794
Phone
(831) 475-7006
Fax
(831) 662-9655
NPI assigned
Apr 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT12916 CA Primary

Addresses

Primary practice location

519 Capitola Ave
Suite B
Capitola, CA 95010-2794

Mailing address

115 Baltusrol Dr
Aptos, CA 95003-5401
Phone (831) 475-7006

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

State licenses

LicenseStateTypeSpecialty
MT12916CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750509949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BALTUSROL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950035401",
            "telephone_number": "831-475-7006",
            "fax_number": "831-662-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CAPITOLA AVE",
            "address_2": "SUITE B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102794",
            "telephone_number": "831-475-7006",
            "fax_number": "831-662-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNALLS",
        "first_name": "DONNA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MT12916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.