Meet Your Clinician

Timothy “Chad” Street

MSN, APRN, FNP-BC  ·  Family Nurse Practitioner

I'm a board-certified Family Nurse Practitioner with a background in emergency medicine, now practicing primary care in Middle Tennessee. I started Street Health and Wellness because I believe patients deserve the same depth of clinical thinking their providers use — explained clearly, without a co-pay.

Board-Certified FNP-BC Emergency Medicine Background MSN — Master of Science in Nursing Primary Care · Middle Tennessee

Evidence First, Always

Every article is grounded in peer-reviewed research, clinical guidelines, and real-world practice — not supplement marketing or wellness trends.

Written for Real People

Clinical knowledge doesn't have to be locked behind jargon. The goal is to explain things the way I'd explain them to a patient sitting across from me.

Proactive, Not Reactive

The current healthcare system waits for you to get sick. This blog exists to equip you to prevent disease before it starts — years or decades ahead of time.

My Story

From the emergency department to your inbox

My clinical foundation was built in the emergency department — a setting that forces you to think fast, synthesize incomplete information, and prioritize ruthlessly. In the ED, there's no luxury of "let's recheck in three months." You assess, decide, and act. That background changed how I think about medicine permanently.

When I transitioned to primary care, I brought that same intensity to a very different environment. Primary care is where the real prevention happens — where you have the time and continuity to actually change a patient's health trajectory. But I quickly noticed a persistent gap: patients were leaving appointments without the tools to understand what was happening to their own bodies.

"The standard 15-minute primary care visit isn't broken because providers don't care. It's broken because a system optimized for throughput cannot also be optimized for education."

— Chad Street, FNP-BC

I started Street Health and Wellness to close that gap. Not as a replacement for medical care — but as the deep-dive explanation that should accompany it. The kind of breakdown you get when you ask a clinician friend to explain something at dinner, not when you Google symptoms at midnight.

Clinical Focus Areas

What I write about, and why

My clinical interests aren't random — they reflect the areas where I've seen the biggest gaps between what the evidence shows and what patients are actually being told. These are the topics I return to again and again, in practice and in research.

Longevity & Healthspan Medicine

Epigenetic aging clocks, NAD⁺ biology, SIRT6 pathways, and the science of staying functional well into later decades — not just alive longer.

Preventive Cardiology

ApoB, Lp(a), advanced lipid panels, the 2026 ACC/AHA guidelines, PREVENT-ASCVD risk scoring, and what none of it means without context.

Metabolic Health

Insulin resistance, HOMA-IR, fasting insulin, visceral adiposity, and why your fasting glucose being "normal" may still mean your metabolism is struggling.

Evidence-Based Supplementation

Vitamin D3/K2, Omega-3 dosing, Magnesium formulations, and separating legitimate therapeutic tools from expensive placebos.

Clinical Philosophy

How I think about patient health

Medicine is not a protocol. Evidence-based practice means applying research to the person in front of you — not just executing a flowchart. These are the principles that guide how I think, both in clinic and in everything I write here.

  • Treat the whole person, not the lab value

    A number outside the reference range is a question, not a diagnosis. Context — symptoms, trends, lifestyle, family history — determines what it actually means.

  • Prevention is the highest-yield intervention

    Detecting insulin resistance at 40 is more powerful than starting metformin at 55. The goal is always to stay upstream of disease, not manage it downstream.

  • An informed patient is a better patient

    When patients understand their own physiology, they ask better questions, make better decisions, and trust the process. Education is a clinical intervention.

  • Skepticism is part of the job

    I apply the same critical lens to supplements, longevity interventions, and functional medicine claims as I do to pharmaceuticals. Enthusiasm without evidence is marketing.

Background

Education & clinical journey

Current

Family Nurse Practitioner — Primary Care

Practicing primary care in Middle Tennessee. Adult and geriatric focus. On-site CLIA-waived point-of-care testing and X-ray capability. Collaborative physician agreement.

Graduate Education

Master of Science in Nursing (MSN) — Family Nurse Practitioner Track

Advanced clinical training in primary care, pharmacology, differential diagnosis, and evidence-based practice. Board-certified by the ANCC as FNP-BC.

Emergency Medicine

Emergency Department — Clinical Practice

Built a clinical foundation in high-acuity emergency medicine. Developed skills in rapid assessment, diagnostic reasoning under pressure, and managing undifferentiated illness.

Nursing Foundation

Bachelor of Science in Nursing (BSN)

Foundation in clinical nursing practice, patient assessment, and the science of care. Beginning of a career built on curiosity and an evidence-first mindset.

2024 — Present

Street Health and Wellness — Founder & Author

Launched this platform to deliver clinical-grade health education to patients and the public — free, evidence-based, and written the way a clinician actually thinks.