Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Runyon, RNNP

Individual provider Nurse Practitioner · NPI 1316948235

Theresa Runyon, RNNP is a Nurse Practitioner in Walnut Creek, California. Qualified in 2002, 24 years ago. Practices with West Coast Kidney, a 56-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

112 La Casa Via Ste 210
Walnut Creek, CA 94598-3091
Phone: (925) 944-0351
Fax: (925) 944-1957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN43220 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence MD13953 (CA)

Record details

NPI number1316948235
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNNP
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice West Coast Kidney — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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