JANICE LYNN RUNZHEIMER (NPI# 1316146772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316146772 |
| Entity Type | Individual |
| Full Name | JANICE LYNN RUNZHEIMER |
| Credential | RN, MSN, PMHCNS-BC |
| Practice Address |
1301 Pennsylvania Ave Fort Worth TX 76104-2122 |
| Practice Telephone | 8178204906 |
| Practice Fax Number | 8172505441 |
| Mailing Telephone | 8178204906 |
| Mailing Fax Number | 8172505441 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2014-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
451365 | TX | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
451365 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 192321101 | 05 |
| Street Address |
1301 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227257 | Robert Louis Quillin | Pediatrics | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2005-07-05 |
| 1003414996 | Jana Mitchell | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-10-13 |
| 1730799941 | Brin Alexandra Morris | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1871103168 | Niki Sheth | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-08-03 |
| 1033736863 | Molly Taylor | Respiratory Therapist, Registered | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-27 |
| 1215554175 | Suja Varghese | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1538786470 | Amanda A Viehmann | Registered Nurse | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-26 |
| 1376169599 | Heather Nicole Le | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-06-23 |
| 1750904249 | Kelli Renee Vogler | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-19 |
| 1598387169 | Alim Virji | Radiology | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126001 | Augusta Chika Anyama | Clinical Nurse Specialist | 20902 Bright Lake Bend Ct, Richmond, TX 77407-4491 | 2020-05-23 |
| 1801123765 | Kathryn M. Gaylord | Clinical Nurse Specialist | 3400 Rowley E. Chambers Avenue, United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315 | 2009-11-12 |
| 1386882975 | Deborah Ann Sanford-wilson | Clinical Nurse Specialist | 411 S Nedderman Dr, Arlington, TX 76019-0001 | 2009-02-04 |
| 1740450642 | Phyllis Jean Ellena | Clinical Nurse Specialist | 4026 Parkway Dr, San Antonio, TX 78228-2311 | 2008-03-06 |
| 1669665220 | Joyce A Hohner | Clinical Nurse Specialist | 964 W Highway 190, Suite 7, Copperas Cove, TX 76522-3800 | 2007-08-27 |
| 1144433954 | Charles Ebenezer Blair | Clinical Nurse Specialist | 1120 Nasa Pkwy 220w, Houston, TX 77058-3362 | 2007-05-08 |
| 1932297363 | Starla B Harrison | Clinical Nurse Specialist | 6363 Forest Park, #749, Dallas, TX 75390-9121 | 2006-10-11 |
| 1134143332 | Robert Ray Robertson | Clinical Nurse Specialist | 3605 N.e. Loop 286, Suite 2000, Paris, TX 75460-5085 | 2006-07-27 |
| 1356332324 | Jorge Torres | Clinical Nurse Specialist | Brooke Army Medical C Enter, Fort Sam Houston, TX 78234 | 2005-10-31 |
| 1386151272 | Hilda L Solis, Rn Msn Apn PC | Clinical Nurse Specialist | 905 S Jackson Rd, Pharr, TX 78577-6616 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on JANICE LYNN RUNZHEIMER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.