NPIMap

Individual provider Active NPI

Tristan Erik Hediger, BA

  • Student in an Organized Health Care Education/Training Program
  • McMinnville, OR
National Provider Identifier
1356777312
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
435 NE Evans St # a
McMinnville, OR 97128-4628
Phone
(503) 472-4020
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

435 NE Evans St # a
McMinnville, OR 97128-4628

Mailing address

435 NE Evans St # a
McMinnville, OR 97128-4628
Phone (503) 472-4020

Other practice location 1

37875 Jasper Lowell Rd
Jasper, OR 97438-9751
Phone (541) 747-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Feb 19, 2023 Accepting new patients
Jasper Mountain Past Accepting new patients
Jasper Mountain PastSince Aug 29, 2021 Accepting new patients

Locations

435 NE Evans St
Ste A
McMinnville, OR 97128
Phone (503) 472-4020

Organizations & group practices 3

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1356777312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NE EVANS ST # A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284628",
            "telephone_number": "503-472-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NE EVANS ST # A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284628",
            "telephone_number": "503-472-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37875 Jasper Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "OR",
            "postal_code": "974389751",
            "country_code": "US",
            "telephone_number": "541-747-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDIGER",
        "first_name": "TRISTAN",
        "middle_name": "ERIK",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.