Active NPI
Michael Streeter, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1992816854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 110404
- Practice address
- 10060 Regency Cir
Omaha, NE 68114-3732 - Phone
- (402) 354-1354
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 110404 | NE | Primary |
Addresses
Primary practice location
10060 Regency Cir
Omaha, NE 68114-3732
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068731762 | Medicaid | NE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Current | Accepting new patients |
Locations
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1992816854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10060 REGENCY CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143732",
"telephone_number": "402-354-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "110404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068731762",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.