Active NPI
Jessica Sara Streu, A.T.C.
- Athletic Trainer
- Muskogee, OK
National Provider Identifier
1891961942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 505
- Practice address
- 2299 Old Bacone Rd
Muskogee, OK 74403-1568 - Phone
- (918) 685-0809
- NPI assigned
- May 7, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 505 | OK | Primary |
Addresses
Primary practice location
2299 Old Bacone Rd
Muskogee, OK 74403-1568
Mailing address
2299 Old Bacone Rd
Bacone College Athletics
Muskogee, OK 74403-1568
Phone (918) 685-0809
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1891961942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 OLD BACONE RD",
"address_2": "BACONE COLLEGE ATHLETICS",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031568",
"telephone_number": "918-685-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2299 OLD BACONE RD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031568",
"telephone_number": "918-685-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREU",
"first_name": "JESSICA",
"middle_name": "SARA",
"credential": "A.T.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.