Individual provider Active NPI

Rhodium Pancratius Streegan, RN

  • Registered Nurse
  • Temecula, CA
National Provider Identifier
1255085098
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
833672 Issued in CA
Practice address
42027 Dunes CT
Temecula, CA 92591-7918
Phone
(727) 637-8271
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 833672 CA Primary

Addresses

Primary practice location

42027 Dunes CT
Temecula, CA 92591-7918

Mailing address

42027 Dunes CT
Temecula, CA 92591-7918

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Temecula

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
833672CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1255085098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42027 DUNES CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42027 DUNES CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917918",
            "telephone_number": "727-637-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREEGAN",
        "first_name": "RHODIUM",
        "middle_name": "PANCRATIUS",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "833672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Temecula",
            "affiliation": "N",
            "address_1": "42027 Dunes Ct",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925917918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.