Tara Robyn Streeter

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

676743121 Issued in NY

Practice address

2482 Legion St
Bellmore, NY 11710-4903

Phone

(516) 637-5806

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1447597869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 LEGION ST",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104903",
            "telephone_number": "516-637-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 LEGION ST",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104903",
            "telephone_number": "516-637-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETER",
        "first_name": "TARA",
        "middle_name": "ROBYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "676743121",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "676602121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PROFESSIONALS",
            "identifier": "NYFRIT2480",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Stella, R.PH
• Brianna Stentiford
• Blanche Stern, LCSW
• Shani Lauren Stimler
• Kylee Mae Stonebarger
• Joanna M Strianese, SPECIAL EDUCATION TE
• Zackary Strunin
• Steven Jeffrey Stummer, D.P.M.
• Peter Su, M.D.
• Johanna Elizabeth Sullivan, MA CCC SLP

• Early Intervention Provider Agency in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.