Active NPI
Nicole Christine Streich, PA-C
- Physician Assistant
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 031911
- Practice address
- 830 Washington St
Watertown, NY 13601-4099 - Phone
- (315) 785-4673
- Fax
- (315) 788-4248
- NPI assigned
- Jul 11, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 18872330 | ND | |
| Physician Assistant | 363A00000X | 13088 | MN | |
| Physician Assistant | 363A00000X | 031911 | NY | Primary |
Addresses
Primary practice location
830 Washington St
Watertown, NY 13601-4099
Mailing address
830 Washington St
Watertown, NY 13601-4099
Phone (315) 785-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18872330 | ND | MD | Registered Dietitian |
| 65836 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 13088 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| Samaritan Medical Center | Past | Accepting new patients |
Locations
225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002
1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- nstreich409553@direct-ucsfmedicalcenter.org
Organizations & group practices 13
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.
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Rehabilitation Hospital Unit
- Watertown, NY
- NPI 1093722068
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Rheumatology Physician
- San Francisco, CA
- NPI 1881763597
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1891136446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014099",
"telephone_number": "315-785-4673",
"fax_number": "315-788-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014099",
"telephone_number": "315-785-4673",
"fax_number": "315-788-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREICH",
"first_name": "NICOLE",
"middle_name": "CHRISTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "18872330",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13088",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.