MRS. WANDA LISA STREET (APRN-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336254648

MRS. WANDA LISA STREET (APRN-BC) is a healthcare provider. based in Fort benning, Georgia. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN-BC. They hold a License No. RN140175 (GA). The NPI Number for MRS. WANDA LISA STREET (APRN-BC) is 1336254648

Main info

Female
Name
MRS. WANDA LISA STREET (APRN-BC)
NPI
1336254648
Phone
(706) 544-8688
Address
6600 VAN AALST BLVD
Enumeration Date
20 August 2006
Last Update Date
29 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. WANDA LISA STREET (APRN-BC)

  • 6600 VAN AALST BLVD

    FORT BENNING, GA 319052102

    Phone: (706) 544-8688

    Type: Location

  • 1654 OSSAHATCHIE CREEK RD

    ELLERSLIE, GA 318075342

    Phone: (706) 582-3575

    Type: Mailing

  • Columbus Health Department, 2100, Comer Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319048725

    Phone: (706) 596-5752

    Fax: (706) 596-5727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31905)

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Reviews

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Frequently asked questions

What federal number belongs to MRS. WANDA LISA STREET (APRN-BC)?
The federal identifier for MRS. WANDA LISA STREET (APRN-BC) is NPI 1336254648.
Is MRS. WANDA LISA STREET (APRN-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. WANDA LISA STREET (APRN-BC)'s specialty in plain language?
Clinically, the directory lists MRS. WANDA LISA STREET (APRN-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. WANDA LISA STREET (APRN-BC)?
The snapshot lists Fort Benning, Georgia for MRS. WANDA LISA STREET (APRN-BC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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