{"npi":"1316948235","type":"NPI-1","status":"active","name":{"display":"Theresa Runyon RN NP","other":[],"first":"THERESA","last":"RUNYON","credential":"RN NP"},"specialty":{"primary_taxonomy":"163W00000X","primary_taxonomy_description":"Registered Nurse","slug":"registered-nurse","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"CA","license":"MD13953"},{"code":"163W00000X","description":"Registered Nurse","primary":true,"state":"CA","license":"RN43220"}]},"addresses":[{"purpose":"LOCATION","street_1":"112 LA CASA VIA","city":"WALNUT CREEK","state":"CA","postal_code":"945983091","country_code":"US","street_2":"STE 210","phone":"9259440351","fax":"9259441957"},{"purpose":"MAILING","street_1":"112 LA CASA VIA","city":"WALNUT CREEK","state":"CA","postal_code":"945983091","country_code":"US","street_2":"STE 210","phone":"9259440351","fax":"9259441957"}],"license":{"state":"CA","number":"RN43220"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"GR0020610","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040709001338","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"CA","pac_id":"8820076425"}]},"enumeration_date":"2005-08-02","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}