Individual provider Active NPI

Brittany Knicely Street, NP

  • Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1194386136
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012026 Issued in NC
Practice address
280 N Pointe Blvd
Mount Airy, NC 27030
Phone
(336) 786-4133
Fax
(336) 783-3417
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012026 NC Primary

Addresses

Primary practice location

280 N Pointe Blvd
Mount Airy, NC 27030

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 786-4522

Other practice location 1

101 Hanover Ct
King, NC 27021-9107
Phone (336) 745-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022002691 NC Practitioner - Nurse Practitioner 0446582548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Hospital of Surry CountyGroup PAC ID 0244281749, 41 clinicians

Practice addresses (Care Compare)

280 N Pointe Blvd
Mount Airy, NC 27030-2267
Phone (336) 786-4133

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, King, NC, CCN 347330
  • Liberty Home Care V, LLC Home health agency, Mount Airy, NC, CCN 347172
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County CurrentSince Sep 23, 2019 Accepting new patients
Northern Hospital of Surry County Current Accepting new patients
Northern Hospital of Surry County CurrentSince Sep 23, 2019 Accepting new patients
Northern Hospital of Surry County Past Accepting new patients

Locations

105 N Crutchfield St
Dobson, NC 27017
Phone (336) 783-8100

423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144

1016 S South St
Mount Airy, NC 27030
Phone (336) 783-8900

280 N Pointe Blvd
Mount Airy, NC 27030
Phone (336) 786-4133

Interoperability endpoints

  • Direct secure messaging: bstreet@nmgfm.gwaydirect.com
  • Direct secure messaging: bstreet@direct.nrh.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1194386136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-786-4522",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N POINTE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-4133",
            "fax_number": "336-783-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hanover Ct",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270219107",
            "country_code": "US",
            "telephone_number": "336-745-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREET",
        "first_name": "BRITTANY",
        "middle_name": "KNICELY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.