MRS. LISA ANN RUNYON CPNP
NPI 1003091430
Nurse Practitioner - Pediatrics in Salt Lake City, UT

Active since January 03, 2008
100 N MEDICAL DR, TRAUMA SERVICES, SALT LAKE CITY, UT 84113(801) 662-2993(801) 662-2999 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa Ann Runyon Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA ANN RUNYON CPNP (NPI 1003091430) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (216679-4405) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1003091430
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. LISA ANN RUNYONCredential: CPNP
Location Address100 N MEDICAL DR, TRAUMA SERVICESSalt Lake City, UT 84113-1103
Mailing Address100 N Medical Dr, Trauma ServicesSalt Lake City, UT 84113-1103 · (801) 662-2993 · Fax (801) 662-2999
Fax(801) 662-2999
Sole ProprietorNo
Enumeration DateJanuary 3, 2008
NPI 1003091430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in UT · 216679-4405
100 N MEDICAL DR, Salt Lake City, UT 84113

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Radiology (Pediatric Radiology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Runyon's NPI number?

The NPI number for Lisa Runyon is 1003091430. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Lisa Runyon located?

Lisa Runyon practices at 100 N Medical Dr Trauma Services, Salt Lake City, UT 84113. The listed phone number is (801) 662-2993.

What is Lisa Runyon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lisa Runyon was last updated on January 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.