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ANDREA K. STREET B.S.
NPI 1679745624
Dietitian, Registered in Longview, WA

Active since March 31, 2008
600 BROADWAY ST, LONGVIEW, WA 98632(360) 636-4943 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea K. Street B.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA K. STREET B.S. (NPI 1679745624) is an individual dietitian, registered in Longview, Washington and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1679745624
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA K. STREETCredential: B.S.
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing Address1230 7th AveLongview, WA 98632-3166 · (360) 636-6268 · Fax (360) 575-6749
Phone(360) 636-4943
Sole ProprietorNo
Enumeration DateMarch 31, 2008
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1679745624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
600 BROADWAY ST, Longview, WA 98632
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Other Names 1

Former Name (1)Andrea K. Kazeck Bs

Other Identifiers 1

Medicaid8510075WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea K. Street B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrea Street reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Manor Care Of Salmon Creek Wa, Association
32 mi
Skilled Nursing Facility
2811 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1093043424 (Oregon)
  • 2,534 clinicians in this Medicare group
NPI 1609171081 (360) 574-5247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMONA K SHERMAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4836
JENNIFER ABIDEMI URUNE FNP
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
MARGARET D NORMAN BS, MS
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4943
GAYLE M TATE-CASSON LICSW
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2222
ALICIA D SUSILLA BS
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2200
JOANNE E KOOISTRA
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
ROBERT C AXELROD MD
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236
DR. YEHONATAN SHILO M.D.
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Street's NPI number?

The NPI number for Andrea Street is 1679745624. It was assigned to this individual provider in the NPPES registry on March 31, 2008. The provider is also known as Andrea K. Kazeck Bs.

Where is Andrea Street located?

Andrea Street practices at 600 Broadway St, Longview, WA 98632. The listed phone number is (360) 636-4943.

What is Andrea Street's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Street enrolled in Medicare?

Yes. Andrea Street is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Street's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Street reassigns Medicare benefits to Manor Care Of Salmon Creek Wa, Association (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Street's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Street was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.