MRS. AUTUMN STREETMAN (NPI# 1386001055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386001055 |
| Entity Type | Individual |
| Full Name | MRS. AUTUMN STREETMAN |
| Practice Address |
6 Mathis Drive Rome GA 30165 |
| Practice Telephone | 7062917201 |
| Practice Fax Number | 7062917198 |
| Mailing Telephone | 7062917201 |
| Mailing Fax Number | 7062917198 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
GA | Behavioral Health & Social Service Providers |
| Street Address |
6 MATHIS DRIVE |
| City | ROME |
| State | GA |
| Zip Code | 30165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| 1063749588 | David H Fowler | Clinical Nurse Specialist | 306 Shorter Ave, Rome, GA 30165 | 2009-11-04 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1780798371 | Sarah Marie Blair | Counselor | 104 W South St, Rome, NY 13440-6524 | 2006-08-19 |
| 1891151585 | Robert Edward Hamilton IIi | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2016-01-11 |
| 1255796041 | Wendy Renee' Storey | Counselor | 412 E 1st St, Rome, GA 30161-3104 | 2015-12-21 |
| 1770948572 | Pamela Martin | Counselor | 1 Woodbine Ave Nw, Rome, GA 30165-2397 | 2015-12-21 |
| 1205201720 | Alejandra Molinar | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2015-12-09 |
| 1497120562 | Shawn Scott | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2015-12-01 |
| 1972978039 | Katie Shetter Flanery | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2015-12-01 |
| 1285008359 | Rhonda Fields | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2015-11-30 |
| 1477927705 | Wilma Jeanne Barnes | Counselor | 6 Mathis Dr Nw, Rome, GA 30165-1242 | 2015-11-24 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.