DR. NICOLE STREETMAN (NPI# 1154759918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154759918 |
| Entity Type | Individual |
| Full Name | DR. NICOLE STREETMAN |
| Credential | DDS |
| Practice Address |
1313 Broadway Ste 5 Lubbock TX 79401-3209 |
| Practice Telephone | 8067652611 |
| Practice Fax Number | 8067710850 |
| Mailing Telephone | 8067652611 |
| Mailing Fax Number | 8067710850 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29423 | TX | Dental Providers |
| Street Address |
1313 BROADWAY STE 5 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306016019 | Maurice Asmussen | Pediatrics | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2008-03-10 |
| 1144838459 | Courtney Evans | Dentist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2020-07-22 |
| 1114398245 | John Cameron Johnson | Dentist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2015-10-15 |
| 1003215021 | Ashley Dickerson | Marriage & Family Therapist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2014-08-14 |
| 1952717167 | Momal Muneer Umrani | Dentist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2014-07-08 |
| 1063852580 | Whitney G Mcbrayer | Dentist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2013-06-28 |
| 1750678132 | Shirley Don Leblanc | Nurse Practitioner | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2011-07-06 |
| 1184857633 | Jack Clifton Shropshire | Dentist | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524426 | Maupin Endodontics & Microsurgery Pllc | Dentist | 6010 82nd St Ste 300, Lubbock, TX 79424-0822 | 2019-12-02 |
| 1730664798 | Dental Health Associates of Texas, PC | Dentist | 6102 82nd St Ste 1, Lubbock, TX 79424-0803 | 2018-09-26 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1699288423 | Yellow House Dental & Implant Center, Pllc | Dentist | 2420 Quaker Ave Ste 104, Lubbock, TX 79410-1837 | 2017-11-15 |
| 1134674187 | Lauren Gates Fey | Dentist | 5607 Slide Rd # 200, #200, Lubbock, TX 79414-4104 | 2016-08-19 |
| 1336591692 | Abbeville Family Dentistry | Dentist | 3801 50th St Ste 13a, Lubbock, TX 79413-3859 | 2016-07-11 |
| 1457729394 | Mccasland Family Dental Too Pllc | Dentist | 7310 Slide Rd, Suite 102, Lubbock, TX 79424-2512 | 2015-09-09 |
| 1265847248 | Karissa Young | Dentist | 1318 Broadway Ste 5, Lubbock, TX 79401-3206 | 2014-06-27 |
| 1083913198 | Summer Celeste Ketron | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2011-03-15 |
| 1902126774 | Familia Dental Lubbock Pllc | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2010-06-03 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on DR. NICOLE STREETMAN.
| 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.