Andrea Streeter

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

044016471 Issued in GA

Practice address

439 Watson Bay
Stone Mountain, GA 30087-6195

Phone

(770) 465-6858

NPI assigned

Sep 17, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• 'A' Helping Hand, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stone Mountain, GA
  • NPI 1225358856

  Intermediate Care Facility, Intellectual Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1205205473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WATSON BAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876195",
            "telephone_number": "770-465-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WATSON BAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876195",
            "telephone_number": "770-465-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "GA",
            "license": "044016471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Mountain Family Practice, PC
• Stone Mountain Immediate Medical Care, Inc.
• Stone Mountain Run of Journey LLC
• Brittany Strain, AIDE
• Janice Rose Strang, D.C.
• Strive and Succeed, Inc.
• Lacey Strozier, CCC-SLP
• Susan Necole Sturdivant Miles, LPC,NCC
• Miranda Sturdivant
• Alyssa Jill Style, D.O.

• Intellectual Disabilities Intermediate Care Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Intellectual Disabilities Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.