Active NPI
Miyako S Streeter, FNP
- Family Nurse Practitioner
- Hammond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 041358443
- Practice address
- 31 Sibley St Ste a
Hammond, IN 46320 - Phone
- (219) 802-8800
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.017998 | IL | |
| Family Nurse Practitioner | 363LF0000X | 71008683A | IN | |
| Family Nurse Practitioner | 363LF0000X | 041358443 | IL | Primary |
Addresses
Primary practice location
31 Sibley St Ste a
Hammond, IN 46320
Mailing address
31 Sibley St Ste a
Hammond, IN 46320-1725
Phone (219) 802-8800
Other practice location 1
5521 W Lincoln Hwy Ste 1A
Crown Point, IN 46307-1098
Phone (219) 769-1362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.017998 | IL | MD | Nurse Practitioner |
| 041358443 | IL | MD | Family Nurse Practitioner |
| 71008683A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Emergency Services Physician Group | Current | Accepting new patients | |
| Family Doc, Inc. | Current | Accepting new patients | |
| Mea Chicago PC | Nurse Practitioner | Current | Accepting new patients |
| Nwi Urgent Care, LLC | Current | Accepting new patients | |
| Familydoc Urgent Care LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
7201 S Stony Island Ave
Chicago, IL 60649
Phone (773) 690-5300
5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362
31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800
8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Munster, IN
- NPI 1043596703
-
- Family Medicine Physician
- Chicago, IL
- NPI 1700117942
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1245880715
-
- Emergency Medical Services (Emergency Medicine) Physician
- Chicago, IL
- NPI 1760587703
-
- Urgent Care Clinic/Center
- Schererville, IN
- NPI 1942642848
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1225501356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SIBLEY ST STE A",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201725",
"telephone_number": "219-802-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SIBLEY ST STE A",
"city": "HAMMOND",
"state": "IN",
"postal_code": "46320",
"telephone_number": "219-802-8800"
}
],
"practiceLocations": [
{
"address_1": "5521 W Lincoln Hwy Ste 1A",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463071098",
"country_code": "US",
"telephone_number": "219-769-1362",
"fax_number": "219-769-8298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STREETER",
"first_name": "MIYAKO",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.017998",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008683A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041358443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.