Tierney Newman, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lake Oswego, OR
NPI 1093272015 · NPPES record last updated Apr 10, 2019
Key facts
- NPI
- 1093272015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201901590NP-PP (OR)
- Practice address
- 4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035-2479 - Phone
- (503) 216-1500
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth Networks on Demand LLC
Practice addresses (Care Compare)
1400 NE Alberta St
Portland, OR 97211-5044
Phone (864) 664-3984
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190408002934 | OR | Practitioner - Nurse Practitioner | 6406197078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201901590NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current |
Accepting new patients | |
| Zoomcare PC | Past | Accepting new patients |
Locations (25 of 28)
2695 SW Cedar Hills Blvd
Ste 180
Beaverton, OR 97005
11355 SW Scholls Ferry Rd
Beaverton, OR 97008
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
17155 SE Sunnyside Rd
Ste 160
Happy Valley, OR 97015
Phone (503) 908-5634
2711 NE Town Center Dr
Ste 2
Hillsboro, OR 97006
111 A Ave
Lake Oswego, OR 97034
900 SW 5th Ave
Portland, OR 97204
Phone (503) 774-2107
3218 NE Broadway St
Portland, OR 97232
202 NW 13th Ave
Portland, OR 97209
Phone (971) 998-1011
7855 SW Capitol Hwy
Portland, OR 97219
606 NE Broadway St
Portland, OR 97232
Phone (503) 752-4879
6910 SE Milwaukie Ave
Portland, OR 97202
1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512
1400 NE Alberta St
Portland, OR 97211
8179 N Lombard St
Portland, OR 97203
3130 SE Division St
Portland, OR 97202
Phone (503) 515-2877
2400 E Burnside St
Portland, OR 97214
Phone (503) 608-3081
172 NE Martin Luther King Jr Blvd
Portland, OR 97232
1662 NW 23rd Ave
Portland, OR 97210
3872 N Mississippi Ave
Spc 2
Portland, OR 97227
4415 SE Woodstock Blvd
Portland, OR 97206
3060 SE Hawthorne Blvd
Portland, OR 97214
4427 NE Fremont St
Portland, OR 97213
2990 Commercial St SE
Ste 160
Salem, OR 97302
Interoperability endpoints
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201901590NP-PP | OR | Yes |
Addresses
Primary practice location
4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035-2479
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other providers in Lake Oswego, OR
- Hannah Rose Neumann
- Sydney Reynolds Neumann
- Neurohaven Counseling LLC
- New Avenues for Youth
- New Ground Physical Therapy LLC
- Jacqueline Ka-Wan NG
- Ivy Ngugi
- Thien Phu Nguy
- Duc Xuan Nguyen
- Kelly Kim Nguyen
All providers in Lake Oswego, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.