Staci G. Streeter-Moye, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5004620 Issued in NC

Practice address

511 Paladin Dr
Greenville, NC 27834-7826

Phone

(252) 752-8880

Fax

(252) 752-3084

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1003148867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PALADIN DRIVE",
            "address_2": "EASTERN NEPHROLOGY ASSOCIATES, PLLC",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-752-8880",
            "fax_number": "252-752-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PALADIN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-752-8880",
            "fax_number": "252-752-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER-MOYE",
        "first_name": "STACI",
        "middle_name": "G.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Stowe, LCMHCA, LCASA
• Justin Christopher Stowens, M.D.
• Judy M Stox
• Paul H Strausbauch, MD, PHD
• Laycee Strayer
• Tammy Lynn Streeter-Spate, LCAS
• Streets to Homes
• Julie Ann Strickland Erwin, M.D.
• Anna Strickland Weaver, BCBA
• Antonina P. Strickland, PA-C

• Adult Health Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.