Active NPI
Rodney W Street Sr.
- Driver
- Lakeland, FL
National Provider Identifier
1669238341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 7738 Canterbury Cir
Lakeland, FL 33810-3408 - Phone
- (863) 934-9067
- NPI assigned
- Feb 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | FL | Primary |
Addresses
Primary practice location
7738 Canterbury Cir
Lakeland, FL 33810-3408
Mailing address
7738 Canterbury Cir
Lakeland, FL 33810-3408
Phone (863) 934-9067
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1669238341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7738 CANTERBURY CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103408",
"telephone_number": "863-934-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7738 CANTERBURY CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103408",
"telephone_number": "863-934-9067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "RODNEY",
"middle_name": "W",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Driver",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.