Individual provider Active NPI

Annamarie Streilein, PA-C

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1225195308
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101999 Issued in NC
Practice address
319 N Graham Hopedale Rd FL B
Burlington, NC 27217-2992
Phone
(336) 513-2259
Fax
(336) 513-5593
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101999 NC Primary

Addresses

Primary practice location

319 N Graham Hopedale Rd FL B
Burlington, NC 27217-2992

Mailing address

4412 Valley Forge Rd
Durham, NC 27705-6405
Phone (919) 384-1454

Other identifiers 1

IdentifierTypeStateIssuer
ZM378103OtherNCSENTARA COMM HEALTH OPTIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101999NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance County Govt Past Accepting new patients
Alamance County Govt Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225195308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 VALLEY FORGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056405",
            "telephone_number": "919-384-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N GRAHAM HOPEDALE RD FL B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172992",
            "telephone_number": "336-513-2259",
            "fax_number": "336-513-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREILEIN",
        "first_name": "ANNAMARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA COMM HEALTH OPTIM",
            "identifier": "ZM378103",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.