Philip None Streetman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R0023472 Issued in OK

Practice address

500 Polk Creek St
Poteau, OK 74953-5420

Phone

(918) 649-3426

Fax

(918) 649-3426

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Philip None Streetman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1760484133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530727",
            "telephone_number": "918-649-3426",
            "fax_number": "918-649-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POLK CREEK ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535420",
            "telephone_number": "918-649-3426",
            "fax_number": "918-649-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETMAN",
        "first_name": "PHILIP",
        "middle_name": "NONE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0023472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "363399510002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "STREETMAN",
            "middle_name": "NONE",
            "prefix": "MR.",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Stogner
• Brandon Duane Stone, BACHELORS OF ARTS
• Malinda Gayle Stone
• Julie Renee Stover, APRN
• Jarrod William Stow, PHARMD
• Makaela W Stroud
• Kimberly Kay Sullivan, APRN, FNP-C
• Brinnlee A Sweet, BS,CMLL
• T. Jarel Brown Aprn CNP PLLC
• Madison L Tackett

• Certified Registered Nurse Anesthetist in Poteau, OK
• Providers in Poteau, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.