Active NPI
Anna Wayne Streisel, FNP
- Family Nurse Practitioner
- Ladson, SC
National Provider Identifier
1568078939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24259
- Practice address
- 9565 Highway 78 BLDG 100
Ladson, SC 29456-4118 - Phone
- (843) 476-4702
- Fax
- (843) 476-4290
- NPI assigned
- Sep 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24259 | SC | Primary |
Addresses
Primary practice location
9565 Highway 78 BLDG 100
Ladson, SC 29456-4118
Mailing address
1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447
Phone (843) 476-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1568078939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RIBAUT RD STE 30",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025447",
"telephone_number": "843-476-4702",
"fax_number": "843-476-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9565 HIGHWAY 78 BLDG 100",
"city": "LADSON",
"state": "SC",
"postal_code": "294564118",
"telephone_number": "843-476-4702",
"fax_number": "843-476-4290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE STREISEL",
"first_name": "ANNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "24259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.