Samantha Gail Street, RN,FA,CNOR

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN0000152703 Issued in TN

Practice address

80 Humphreys Ctr Ste 100
Memphis, TN 38120-2352

Phone

(901) 761-9030

Fax

(901) 473-6505

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Plastic Surgery Group of Memphis P.C.

  • Plastic Surgery Physician
  • Memphis, TN
  • NPI 1831102078
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1023248630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 245",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-761-9030",
            "fax_number": "901-473-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CTR STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-761-9030",
            "fax_number": "901-473-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "SAMANTHA",
        "middle_name": "GAIL",
        "credential": "RN,FA,CNOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TN",
            "license": "RN0000152703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN, CNOR",
            "identifier": "085478",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN0000152703",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Englund Strait, PHD
• Ethan Wilkes Stranch, M.D.
• Brandy D Strangfeld, CRNA
• Lisa Street, NP-C
• Rico D Street, LMSW
• Elizabeth Mitchell Streete, PHD
• Mary E Streete, LCSW
• Jenny R. Strelsin, NP
• Strength and Comfort Care LLC
• Rachel Elizabeth Strength

• Registered Nurse First Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Registered Nurse First Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.