Active NPI
Keionda Runnels, WHNP-BC
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1982016341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP124281
- Practice address
- 5201 Harry Hines Blvd
Dallas, TX 75235-7708 - Phone
- (214) 590-8000
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP124281 | TX | Primary |
Addresses
Primary practice location
5201 Harry Hines Blvd
Dallas, TX 75235-7708
Mailing address
4415 Harvest LN
Sachse, TX 75048-4695
Phone (940) 367-2913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP124281 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Women'S Health | Current | Accepting new patients |
| Dallas County Hospital District | Women'S Health | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- knelson38540@direct.phhs.org
Organizations & group practices 4
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.
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- Women's Health Nurse Practitioner
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-
- Women's Health Nurse Practitioner
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- NPI 1831198506
-
- Nurse Practitioner
- Dallas, TX
- NPI 1871741165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1982016341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 HARVEST LN",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484695",
"telephone_number": "940-367-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357708",
"telephone_number": "214-590-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNNELS",
"first_name": "KEIONDA",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP124281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.