Individual provider Active NPI

Tammy M Stuber, APRN-NP

  • Adult Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1194617290
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10047341 Issued in OR
Practice address
3465 Duncan Ave NE
Salem, OR 97301-0811
Phone
(503) 551-9873
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10047341 OR Primary

Addresses

Primary practice location

3465 Duncan Ave NE
Salem, OR 97301-0811

Mailing address

PO Box 7897
Salem, OR 97303-0193
Phone (503) 551-9873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929001803 OR Practitioner - Nurse Practitioner 0042716144 Reassigns benefits to 3 organizations
Practice locations: Salem, OR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians

Practice addresses (Care Compare)

10435 SE Cora St
Portland, OR 97266-2331
Phone (206) 823-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10047341ORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Adult Wellness LLC Adult Health CurrentSince Aug 1, 2025 Accepting new patients
Daiya Healthcare PLLC CurrentSince Dec 12, 2025 Accepting new patients
Altea Medical Oregon LLC CurrentSince Oct 2, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 2, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1194617290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7897",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973030193",
            "telephone_number": "503-551-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 DUNCAN AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010811",
            "telephone_number": "503-551-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBER",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "10047341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.