Laurie Marie Street

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

140863 Issued in TN

Practice address

170 Blevins Bouelvard
Suite 1
Bristol, VA 24202

Phone

(276) 268-2810

Fax

(276) 268-2810

NPI assigned

Jan 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cedar Recovery Otp, LLC

  • Methadone Clinic
  • Knoxville, TN
  • NPI 1598576019
  NPD (past)

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1508723123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BLEVINS BOUELVARD",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "276-268-2810",
            "fax_number": "276-268-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BLEVINS BOUELVARD",
            "address_2": "SUITE 1",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "24202",
            "telephone_number": "276-268-2810",
            "fax_number": "276-268-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "LAURIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "140863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hodgson Spitzer, RD, LDN
• Alison Daniela Starkey, PA-C
• Kelli Stevens
• Lisa Stevens, R.D.H
• Katelyn Kennedy Stone, OT
• Kelsie Strong, NP
• Sugar Hollow Medical
• Derek Sutherland, PHARMD
• Vanessa Ruiz Sutherland, M.A. CCC-SLP
• Wendy D Swiney, FNP

• Registered Nurse in Bristol, VA
• Providers in Bristol, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.