Susan Mary Runyan, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

110 Issued in AK

Practice address

354TH Medical Group
2630 Central Ave, Suite 1M07
Eielson AFB, AK 99702

Phone

(907) 377-6662

Fax

(907) 377-1629

NPI assigned

Mar 27, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760442297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 CARRIE LYNN DR",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055639",
            "telephone_number": "907-488-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354TH MEDICAL GROUP",
            "address_2": "2630 CENTRAL AVE, SUITE 1M07",
            "city": "EIELSON AFB",
            "state": "AK",
            "postal_code": "99702",
            "telephone_number": "907-377-6662",
            "fax_number": "907-377-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Pulver, SOCIAL WORKER (LCSW)
• Richard Reyes, DNP-FNP
• Brandon Richards, DMD
• Zach L Rodgers, MD
• Stephanie Danielle Rowe
• Stacey R. Schmitt, LCSW
• Nicole Anne Soto
• Parker Leroy Spriggs, DO
• Miles A. Stutes, DPT
• Caitlin Renee Treloar, LCSW

• Registered Dietitian in Eielson AFB, AK
• Providers in Eielson AFB, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.