Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760130868 Individual Practitioner Female Practitioner

Codie Lynn Street , LPN

Licensed Practical Nurse • Cedar Bluff, VA

Professional Overview & Biography Verified Profile Summary

Codie Street, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Cedar Bluff, VA. Practice services are available at 111 TOWN HOLLOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Town Hollow Rd

Cedar Bluff, VA 246099622

Telephone 2769633554
Associated Practice Facility / Clinic
🏢 Galax Treatment Center, Llc Facility NPI 1386783314

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Cedar Bluff, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Cedar Bluff, VA (613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License VA 0002100932

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Teresa Fields , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1043462872

Bachelor of Science

Karen Waldron , BA

Counselor - Addiction (Substance Use Disorder)

NPI 1053533125

Bachelor of Arts

Matt Smith

Counselor - Addiction (Substance Use Disorder)

NPI 1073764361
Tamara Mitchell

Counselor - Addiction (Substance Use Disorder)

NPI 1114148384
Michaela Barnes

Counselor - Professional

NPI 1114410016
Patti White , LPC, LSATP, CSAC

Counselor - Professional

NPI 1114634615

Licensed Professional Counselor, LSATP, Certified Substance Abuse Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 17, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2022

Registered at 111 TOWN HOLLOW RD, CEDAR BLUFF, VA 246099622 (Tel: 2769633554)

📍
Updated Business Mailing Address March 17, 2022

Registered at 111 TOWN HOLLOW RD, CEDAR BLUFF, VA 246099622

👤
Provider Name / Credentials Updated March 17, 2022

Recorded as CODIE STREET, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2022

Licensed Practical Nurse (License #0002100932 in VA)

🟢
Initial NPI Registration & Enumeration March 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760130868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2022
Last Update: March 17, 2022
Sole Proprietor: No

Mailing Address

111 Town Hollow Rd

Cedar Bluff, VA 246099622

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.