Viktoriya Street

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0007908 Issued in CO

Practice address

1950 Redtail Hawk Dr
Estes Park, CO 80517-9780

Phone

(303) 697-2583

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: viktoriya.street@sfhc.eclinicaldirectplus.com

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.

• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1275530388
  Medicare reassignment Care Compare group NPD
• Hospital Medicine

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1396284105
  Medicare reassignment
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Morgan, CO
  • NPI 1740947407
  NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1134766553
  NPD (past)
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1386777266
  NPD (past)
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Frederick, CO
  • NPI 1972636504
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1992350193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-892-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 REDTAIL HAWK DR",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805179780",
            "telephone_number": "303-697-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Family Chiropractic, Inc
• Spencer Family Chiropractic, LLC
• Grant Henry Spencer, D.C.
• Robert S Stackhouse, RPH
• Christine Barbara Starcher, DPT
• Jane Howell-Sammis Stuart, MS OTR
• Rebecca A. Sugar, LCSW, LAC
• Summitstone Health Partners
• Summitstone Health Partners
• Summitstone Health Partners

• Physician Assistant in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.