Individual provider Active NPI

Julia Cherie Bishop-Tall, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1386071801
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201407476NP-PP Issued in OR
Practice address
14523 Westlake Dr # 25
Lake Oswego, OR 97035-7700
Phone
(503) 966-5660
Fax
(503) 713-5770
NPI assigned
Sep 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201407476NP-PP OR Primary

Addresses

Primary practice location

14523 Westlake Dr # 25
Lake Oswego, OR 97035-7700

Mailing address

13162 SW Shore Dr
Tigard, OR 97223-1583
Phone (206) 697-0843

Other practice location 1

7105 SW Varns St
Suite 270
Tigard, OR 97223-8148
Phone (503) 389-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hello@JBT.sprucecare.com

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
I20150714000534 OR Practitioner - Nurse Practitioner 7911210489

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14925 SW Barrows Rd
109 137
Beaverton, OR 97007-7565

5726 Marlin Rd
Suite 420
Chattanooga, TN 37411-5669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201407476NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Bishop-Tall LLC Psychiatric/Mental Health CurrentSince Feb 7, 2018 Accepting new patients

Locations

14925 SW Barrows Rd
Beaverton, OR 97007

14523 Westlake Dr
Ste 4
Lake Oswego, OR 97035
Phone (503) 744-4952

Interoperability endpoints

  • Direct secure messaging: julia.bishop-taylor@106577025630212.direct.elationemr.com

Organizations & group practices 1

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": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1386071801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13162 SW SHORE DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231583",
            "telephone_number": "206-697-0843",
            "fax_number": "503-713-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 WESTLAKE DR # 25",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357700",
            "telephone_number": "503-966-5660",
            "fax_number": "503-713-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 SW Varns St",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238148",
            "country_code": "US",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP-TALL",
        "first_name": "JULIA",
        "middle_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201407476NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hello@JBT.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant business email",
            "address_1": "13162 SW Shore Dr",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972231583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.