DAVID RUNYAN FNP-BC NPI 1205590890

NPI Information

  • NPI: 1205590890
  • Provider Name: DAVID RUNYAN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 279 LINCOLN ST
    WORCESTER, MA
    ZIP 01605
  • Phone: (508) 334-8830

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NPI Details

David Runyan, FNP-BC is a family nurse practitioner in Worcester, MA with 3 years of experience. David Runyan, FNP-BC NPI is 1205590890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

279 LINCOLN ST
WORCESTER, MA
ZIP 01605-120
Phone: (508) 334-8830
Fax: (508) 334-8810

The NPI 1205590890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2021 and was last updated on 5/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146L00000XEmergency Medical Technician, ParamedicP877912MASSACHUSETTSNo
2163W00000XRegistered NurseRN2357052MASSACHUSETTSNo
3363LF0000XNurse PractitionerFamilyRN2357052MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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