Organization
NETTRANS CORPORATION
Active
Other names
NETTRANS Corporation, National Emergency Trauma Travel Response Assembly of NurseS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R STREETMAN DNP (CEO)
(202) 209-5212
Entity
Organization
Contact information
Practice address
8305 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4532
(864) 372-6664
Mailing address
8305 SHEPHERDSVILLE RD, LOUISVILLE, KY 40219-4532
(202) 209-5212
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119510950
DUNANDBRADSTREET
CA
01
—
1454893
KYSOS
KY
01
—
1762536
SOUTH CAROLINA, RN LICENSE:
SC
01
—
3049622
DNP
KY
01
—
620604018
KYDORTAXPAYERID
KY
01
—
620604019
KYDORCORPINLET
KY
01
—
888580101
NCCID
KY
01
—
EW7PV25ZJVK3
SAMID
DC
Enumeration date
08/05/2024
Last updated
03/12/2026
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