NPIMap

Individual provider Active NPI

Brooke Danielle Streett, DO

  • Family Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1508354820
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019043340 Issued in MO
Practice address
101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015
Phone
(816) 271-4022
Fax
(816) 271-4020
NPI assigned
Apr 23, 2018
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019043340 MO Primary
Military Health Care Provider 171000000X NU

Addresses

Primary practice location

101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015

Mailing address

101 Mosaic CT Ste 200
Saint Joseph, MO 64506-0015
Phone (816) 271-4022

Other identifiers 2

IdentifierTypeStateIssuer
30005327410001MedicaidKS
200158647MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710002847 MO Practitioner - Family Practice 0345658555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

711 N 36TH St Entrance a
Mosaic Life Care
St Joseph, MO 64506-2968
Phone (816) 271-8110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019043340MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Family Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Heartland Regional Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

711 N 36th St
Saint Joseph, MO 64506
Phone (816) 271-4022

711 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-8120

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1508354820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-4022",
            "fax_number": "816-271-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-271-4022",
            "fax_number": "816-271-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETT",
        "first_name": "BROOKE",
        "middle_name": "DANIELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019043340",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005327410001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200158647",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.