Individual provider Active NPI

Robyn G Runbeck, M.S.P.A., ED.D.

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1912044850
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0175 Issued in AZ
Practice address
11256 N 128TH St
Scottsdale, AZ 85259-4412
Phone
(480) 484-5500
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0175 AZ Primary

Addresses

Primary practice location

11256 N 128TH St
Scottsdale, AZ 85259-4412

Mailing address

5262 E Fanfol Dr
Paradise Valley, AZ 85253-1624
Phone (480) 951-4153

Other identifiers 1

IdentifierTypeStateIssuer
625717MedicaidAZ

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
SLP0175AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912044850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 E FANFOL DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531624",
            "telephone_number": "480-951-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11256 N 128TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594412",
            "telephone_number": "480-484-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNBECK",
        "first_name": "ROBYN",
        "middle_name": "G",
        "credential": "M.S.P.A., ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.